Individual
MISS WILLIAM D. MCGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12734 KENWOOD LN STE 66, FORT MYERS, FL 33907-5638
(239) 926-4727
(239) 936-4193
Mailing address
12734 KENWOOD LN STE 66, FORT MYERS, FL 33907-5638
(239) 936-4727
(239) 936-4193
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN12633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12633
DENTAL LICENSE
FL
Enumeration date
11/13/2006
Last updated
04/27/2023
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