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NPI 1992017008

IndividualActive

Alicia Grady, DDS

NPI 1992017008 · General Practice Dentistry · Albuquerque, NM

Provider details

NPI number: 1992017008
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Female
Sole proprietor: No
License: DD3457 (NM)

Practice location

7905 Marble Ave Ne

Albuquerque, NM 87110-7886

Phone: (505) 232-5710

More NM providers

Mailing address

7905 Marble Ave Ne

Albuquerque, NM 87110-7886

Registry dates

Enumerated: 2010-07-06
Last updated: 2015-02-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alicia Grady, DDS — NPI 1992017008, Albuquerque, NM | NPI Central