Organization
JODI A MCGRADY DMD, MS, ADC
Active
Other names
McGrady Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI A MCGRADY DMD (DENTIST)
(858) 748-3090
Entity
Organization
Contact information
Practice address
12350 OAK KNOLL RD, POWAY, CA 92064
(858) 748-3090
Mailing address
12350 OAK KNOLL RD, POWAY, CA 92064-5320
(858) 748-3090
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548316391
INDIVIDUAL NPI
—
Enumeration date
04/26/2018
Last updated
06/08/2018
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