Individual
DR. JODI A MCGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
141 PASEO DE PERALTA, SUITE C, SANTA FE, NM 87501-2914
(505) 983-2909
(505) 986-8005
Mailing address
141 PASEO DE PERALTA, SUITE C, SANTA FE, NM 87501
(505) 983-2909
(505) 986-8005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1941
NM
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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