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Individual

DR. VIRGINIA NOCILLA GRIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1570 MAPLEWOOD DR, SULPHUR, LA 70663-5643
(337) 625-2212
Mailing address
1570 MAPLEWOOD DR, SULPHUR, LA 70663-5643
(337) 625-2212

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5477
LA

Other

Enumeration date
03/01/2021
Last updated
03/01/2021
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