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Individual

DR. GARY JAMES GRIMES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4715 TAFT BLVD, WICHITA FALLS, TX 76308-5001
(940) 692-8821
(940) 692-9475
Mailing address
4715 TAFT BLVD, WICHITA FALLS, TX 76308-5001
(940) 692-8821
(940) 692-9475

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9215
TX

Other

Enumeration date
06/22/2005
Last updated
07/08/2007
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