Organization
JESSE A. GRIMM,DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE A. GRIMM (PRESIDENT)
(336) 996-7770
Entity
Organization
Contact information
Practice address
851 OLD WINSTON ROAD, SUITE 101, KERNERSVILLE, NC 27284
(336) 996-7770
Mailing address
851 OLD WINSTON ROAD, SUITE 101, KERNERSVILLE, NC 27284
(336) 996-7770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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