Individual
DR. WENDELL ELLIS GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1806 MAIN ST, BAKER, LA 70714-2842
(225) 775-1388
(225) 775-1344
Mailing address
3141 ADAMS ST, BAKER, LA 70714-2801
(225) 775-1388
(225) 775-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4696
LA
Other
Enumeration date
05/05/2006
Last updated
09/12/2016
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