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Organization
EAGLE RIVER DENTAL ASSOCIATES
Active
Organization
EAGLE RIVER DENTAL ASSOCIATES
Active
Other names
Care Plus Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH T GRIMM DMD (PRESIDENT)
(979) 774-1255
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 170, BRYAN, TX 77802-3475
(979) 774-1255
Mailing address
3201 UNIVERSITY DR E, SUITE 170, BRYAN, TX 77802-3475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20644
TX
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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