# EAGLE RIVER DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Plus Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841616216
- **Authorized official:** DR. KEITH T GRIMM DMD (PRESIDENT)
- **Authorized official phone:** (979) 774-1255

## Contact information

- **Practice address:** 3201 UNIVERSITY DR E, SUITE 170, BRYAN, TX 77802-3475
- **Practice address phone:** (979) 774-1255
- **Mailing address:** 3201 UNIVERSITY DR E, SUITE 170, BRYAN, TX 77802-3475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20644 | TX | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014