Organization
TELLURIDE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN P. GRADY D.D.S. (DENTIST)
(970) 728-4336
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
3000
CO
Other
Enumeration date
03/17/2009
Last updated
08/05/2009
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