Grady, Ann Marie
Grady, Ann Marie is an sole proprietor health care provider with primary practice located at 1360 E Spruce Ave Ste 103 , Fresno CA 93720-3378. She recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as her primary health care specialty. Grady, Ann Marie can be contacted via phone (559) 860-2500.Contact Information
Primary practice address
1360 E Spruce Ave Ste 103
Fresno CA 93720-3378
Phone: (559) 860-2500
Fax: (559) 860-2502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 53741 | California |
Profile Details
| NPI number | 1306920970 |
|---|---|
| LBN Legal business name | Grady, Ann Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jun 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306920970 | NPPES |
| California | Other | 53741 | D.D.S. |
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