Individual
MATTHEW T MCCRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
936 W WALNUT ST, ALBANY, IN 47320-1530
(765) 789-4438
Mailing address
936 W WALNUT ST, PO BOX 9, ALBANY, IN 47320-1530
(765) 789-4438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009977
IN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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