Individual
KIRSTEN GRISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2040 CLUB POND RD, RAEFORD, NC 28376-4000
(910) 565-1838
Mailing address
237 SPRINGWOOD WAY, SOUTHERN PINES, NC 28387-4467
(707) 478-0770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13910
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2023
Last updated
08/06/2024
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