Individual
DR. GERALD W. GRINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 AVENUE K SE, SUITE ONE, WINTER HAVEN, FL 33880-7002
(863) 299-2192
(863) 293-4219
Mailing address
200 AVENUE K SE, SUITE ONE, WINTER HAVEN, FL 33880-7002
(863) 299-2192
(863) 293-4219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06817
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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