Individual
SEAN P GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10900 MEDLOCK BRIDGE RD, SUITE 303, DULUTH, GA 30097-1503
(678) 957-0770
(678) 957-0778
Mailing address
10900 MEDLOCK BRIDGE RD, SUITE 303, DULUTH, GA 30097-1503
(678) 957-0770
(678) 957-0778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012052
GA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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