ROGER GLEN GRIMBALL

SULPHUR, LA
NPI1003830597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: LA  5330)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
Dr. ROGER GLEN GRIMBALL D.D.S.
910 BEGLIS PKWY
SULPHUR, LA 70663-5102
Phone number: 337-625-2212
Mailing Address
Dr. ROGER GLEN GRIMBALL D.D.S.
910 BEGLIS PKWY
SULPHUR, LA 70663-5102
Phone number: 337-625-2212