Organization
EDWARD W GRIMES DDS INC
Active
Other names
Endodontic Associates of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD W GRIMES DDS (OWNER)
(918) 492-9415
Entity
Organization
Contact information
Practice address
6112 E 61ST ST, TULSA, OK 74136
(918) 492-9415
(918) 492-3377
Mailing address
6112 E 61ST ST, TULSA, OK 74136
(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
06/05/2008
Last updated
06/05/2008
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