| 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 |