Organization
BCGG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRITTANY GRADY DDS (GENERAL DENTIST/PRACTICE OWNER)
(317) 418-7511
Entity
Organization
Contact information
Practice address
19787 W IH 10 STE 204, SAN ANTONIO, TX 78257-1695
(317) 418-7511
Mailing address
8231 MYSTIC CHASE, BOERNE, TX 78015-6578
(317) 418-7511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31446
TX
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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