Individual
DR. DARYL GRIGSBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 DELAWARE ST SE # 8-166, MINNEAPOLIS, MN 55455-0357
(678) 777-4178
Mailing address
1064 27TH AVE SE APT C, MINNEAPOLIS, MN 55414-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
R700
MN
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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