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1982729372
JOHN COALSON GRISSOM
GRAPEVINE, TX
NPI
1982729372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14639)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Dr. JOHN COALSON GRISSOM DDS
210 N PARK BLVD SUITE 110
GRAPEVINE, TX 76051-6985
Phone number: 817-488-8175
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Mailing Address
Dr. JOHN COALSON GRISSOM DDS
210 N PARK BLVD SUITE 110
GRAPEVINE, TX 76051-6985
Phone number: 817-488-8175
Copy
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