NPI | 1659934701 |
---|---|
Doing Business As | GRIMES PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | EMMY MONTES Cbo Manager 563-552-0053 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-04-15 |
Last Update Date | 2019-04-15 |