Individual
DR. GARY LEE GRIMM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2727 HOLLYCROFT ST, SUITE #470, WEST BUILDING, GIG HARBOR, WA 98335-1305
(253) 858-7717
(253) 858-7605
Mailing address
2727 HOLLYCROFT ST, SUITE #470, WEST BUILDING, GIG HARBOR, WA 98335-1305
(253) 858-7717
(253) 858-7605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411897
VA
1223G0001X
General Practice Dentistry
Primary
DE00010829
WA
Other
Enumeration date
05/09/2007
Last updated
06/23/2008
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