| Grimes Pediatric Dentistry P C | |
|
1551 Se 3rd St Ste 100 Grimes IA 50111-8861 | |
| (515) 325-1719 | |
| (515) 373-4883 |
| Full Name | Grimes Pediatric Dentistry P C |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1551 Se 3rd St Ste 100, Grimes, Iowa |
| Authorized Official Name and Position | Emmy Montes (CBO MANAGER) |
| Authorized Official Contact | 5635520053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grimes Pediatric Dentistry P C 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | Grimes Pediatric Dentistry P C 1551 Se 3rd St Ste 100 Grimes IA 50111-8861 Ph: (515) 325-1719 |
| NPI Number | 1659934701 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659934701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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