OrganizationActive
Ann Marie Grady, D.D.S., PC
NPI 1063569929 · Oral and Maxillofacial Pathology Dentistry · Fresno, CA
Provider details
- NPI number
- 1063569929
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Authorized official
- Ann Marie Grady, Owner
- License
- 53741 (CA)
Practice location
1313 E Herndon Ave Ste 104
Fresno, CA 93720-3306
Phone: (559) 435-7993
Fax: (559) 435-7935
Mailing address
1313 E. Herndon Ave. #104
Fresno, CA 93720
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2007-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.