Edward William Grimes DDS

NPI 1093725913 - Dentist - 122300000X

NPI Details
NPI 1093725913
Gender Male
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6112 E 61ST ST
TULSA OK, 74137, US
Phone (918) 492-9415
Fax (918) 492-3377
Business Location
6112 E 61ST ST
TULSA OK, 74137, US
Phone (918) 492-9415
Fax (918) 492-3377
Toxanomy
Taxonomy Code 122300000X
License State Oklahoma
License Number 2748
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According to our database, Dr. Edward William Grimes DDS NPI is 1093725913, taxonomy code is 122300000X and license number is 2748, license state is located at Oklahoma. Edward William Grimes DDS physically located at 6112 E 61st St, Tulsa OK, 74137. NPI Number Edward William Grimes DDS has the Individual type.

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1093725913 NPI number is provided on an as is basis without warranty of any kind. 1093725913 is maintained by the National Plan & Provider Enumeration System. The contents of Edward William Grimes DDS are for informational purposes only.