Individual
DR. CAROL DEBORAH GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2999 REGENT ST, SUITE 403, BERKELEY, CA 94705-2146
(510) 843-6341
Mailing address
2999 REGENT ST, SUITE 403, BERKELEY, CA 94705-2146
(510) 843-6341
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DZ033465
CA
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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