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Individual

MARY HEIL GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9785 MACKENZIE, SUITE 106, ST LOUIS, MO 63123
(314) 631-2000
(314) 631-2002
Mailing address
1290 TAMMANY LANE, ST LOUIS, MO 63131
(314) 275-7789
(314) 579-0788

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014062
MO

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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