Individual
DR. ROBERT DAVID GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, 9-470C MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-5161
(612) 626-1496
Mailing address
240 SPRING ST, #410, SAINT PAUL, MN 55102-4477
(651) 353-6765
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D10844
MN
Other
Enumeration date
12/07/2006
Last updated
05/01/2015
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