Individual
DR. FREIDA CAROLE GRIMES-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
614 S FLORISSANT RD, SAINT LOUIS, MO 63135-2948
(901) 864-1990
Mailing address
614 S FLORISSANT RD, SAINT LOUIS, MO 63135-2948
(901) 864-1990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS3040
TN
1223G0001X
General Practice Dentistry
Primary
2018001854
MO
Other
Enumeration date
10/04/2006
Last updated
06/20/2025
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