Individual
DR. KEITH MCGRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2900 CLEAR ACRE LN, SUITE S, RENO, NV 89512-1712
(928) 600-8629
(775) 337-2854
Mailing address
1484 LONGFELLOW LN, GARDNERVILLE, NV 89410-4821
(928) 600-8629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
051893
NY
1223G0001X
General Practice Dentistry
Primary
5870
NV
Other
Enumeration date
10/09/2006
Last updated
01/11/2010
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