Individual
DR. ANTHONY GRADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 PETALUMA AVE STE D, SEBASTOPOL, CA 95472-4233
(707) 823-1029
Mailing address
220 PETALUMA AVE STE D, SEBASTOPOL, CA 95472-4233
(707) 823-1029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102916
CA
Other
Enumeration date
11/02/2015
Last updated
02/24/2022
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