Timothy Grayem DDS

NPI 1033127261 - Dentist - 122300000X

NPI Details
NPI 1033127261
Gender Male
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
469 S KIRKWOOD RD
KIRKWOOD MO, 63122-6119, US
Phone (314) 965-6503
Fax (314) 965-7417
Business Location
469 SOUTH KIRKWOOD ROAD
KIRKWOOD MO, 63122, US
Phone (314) 965-6503
Fax (314) 965-7417
Toxanomy
Taxonomy Code 122300000X
License State Missouri
License Number 2002013144
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According to our database, Dr. Timothy Grayem DDS NPI is 1033127261, taxonomy code is 122300000X and license number is 2002013144, license state is located at Missouri. Timothy Grayem DDS physically located at 469 S Kirkwood Rd, Kirkwood MO, 63122-6119. NPI Number Timothy Grayem DDS has the Individual type.

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1033127261 NPI number is provided on an as is basis without warranty of any kind. 1033127261 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Grayem DDS are for informational purposes only.