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Individual

DR. EDWARD WILLIAM GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6112 E 61ST ST, TULSA, OK 74137
(918) 492-9415
(918) 492-3377
Mailing address
6112 E 61ST ST, TULSA, OK 74137
(918) 492-9415
(918) 492-3377

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2748
OK
1223E0200X
Endodontics
3
OK

Other

Enumeration date
08/09/2006
Last updated
09/11/2025
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