Individual
DR. RYAN PATRICK GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
126 WEST COLORADO AVE, SUITE 203, TELLURIDE, CO 81435
(970) 728-4336
(970) 369-4386
Mailing address
PO BOX 3644, TELLURIDE, CO 81435-3644
(970) 728-4336
(970) 369-4386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-9922
CO
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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