Organization
GRIMES DENTAL ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN O'NEILL (OWNER)
(608) 289-2540
Entity
Organization
Contact information
Practice address
100 SW BROOKSIDE DR, GRIMES, IA 50111-4953
(515) 986-3926
Mailing address
3020 AURORA AVE, SPIRIT LAKE, IA 51360-7097
(712) 336-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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