COURTNEY DIANE GRIM

SANTA FE, NM
NPI1457034738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH4121)
Enumeration Date2023-08-11
Last Update Date2023-09-26
Business Address
COURTNEY DIANE GRIM RDH
4730 BECKNER ROAD
SANTA FE, NM 87507
Phone number: 505-989-4500
Mailing Address
COURTNEY DIANE GRIM RDH
4736 SNOWY OWL RD NE
RIO RANCHO, NM 87144-7635
Phone number: