Individual
PATICK GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
651 E US HIGHWAY 24, INDEPENDENCE, MO 64050-2974
(816) 461-0300
Mailing address
10975 GRANDVIEW DR STE 350, OVERLAND PARK, KS 66210-1522
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
PENDING
MO
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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