DR. KIMBERLY GRADY, DDS
Dentist - General Practice
Active
Individual
NPI: 1154310647
Practice Address
1100 WILFORD HALL LOOPBLDG 4554 ATTN 59 MDW/SGHC
Jbsa Lackland, TX 78236
Phone: (210) 292-6255
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 19560 (MA) |
Frequently Asked Questions
NPI 1154310647 is the National Provider Identifier for DR. KIMBERLY GRADY, DDS, a Dentist - General Practice provider located in Jbsa Lackland, TX. This NPI was enumerated on October 18, 2005.
DR. KIMBERLY GRADY, DDS practices at 1100 WILFORD HALL LOOP, BLDG 4554 ATTN 59 MDW/SGHC, Jbsa Lackland, TX 78236.
Quick Facts
- NPI
- 1154310647
- Type
- Individual
- Enumerated
- Oct 18, 2005
- Last Updated
- Jan 27, 2021
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MARK SIDRANSKY, DDS
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DR. JEREMY SCARPATE, DMD
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