Individual
ELLEN B GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, ED.D
Contact information
Practice address
301 LAWRENCE PLACE, VERMONT TECHNICAL COLLEGE, WILLISTON, VT 05495
(802) 879-5643
Mailing address
49 LILAC LN, SOUTH BURLINGTON, VT 05403-9200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
015.0000919
VT
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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