Organization
GRIMES PEDIATRIC DENTISTRY P C
Active
Other names
Grimes Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
EMMY MONTES (CBO MANAGER)
(563) 552-0053
Entity
Organization
Contact information
Practice address
1551 SE 3RD ST STE 100, GRIMES, IA 50111-8861
(515) 325-1719
(515) 373-4883
Mailing address
40 MAIN ST STE 100, DUBUQUE, IA 52001-7654
(563) 582-1448
(563) 726-7070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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