EDWARD WILLIAM GRIMES

TULSA, OK
NPI1093725913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  2748)
Additional Taxonomies1223E0200X Dentist, Endodontics
(Licence: OK  3)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
Dr. EDWARD WILLIAM GRIMES DDS
6112 E 61ST ST
TULSA, OK 74137
Phone number: 918-492-9415
Mailing Address
Dr. EDWARD WILLIAM GRIMES DDS
6112 E 61ST ST
TULSA, OK 74137
Phone number: 918-492-9415