Individual
AMANDA KUHN GRIMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSS
Contact information
Practice address
1902 N SANDHILLS BLVD STE H, ABERDEEN, NC 28315-2347
(910) 692-4450
Mailing address
1902 N SANDHILLS BLVD STE H, ABERDEEN, NC 28315-2347
(910) 692-4450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7983
NC
Other
Enumeration date
12/04/2007
Last updated
01/09/2013
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