Individual
DR. MARY KATHLEEN GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 SW 7TH ST, REDMOND, OR 97756-2112
(541) 548-4064
Mailing address
1184 SW SILVER LAKE BLVD, BEND, OR 97702-2194
(708) 307-8967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10810
OR
Other
Enumeration date
03/03/2017
Last updated
04/15/2020
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