Individual
DR. JAE MARIE GRYMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1290 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 273-0247
Mailing address
1290 PEOPLES PLZ, NEWARK, DE 19702-5701
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
16241
MD
1223D0004X
Dental Anesthesiology
Primary
G1-0001460
DE
1223P0221X
Pediatric Dentistry
16241
MD
1223P0221X
Pediatric Dentistry
G1-0001460
DE
Other
Enumeration date
07/08/2013
Last updated
08/11/2020
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