Individual
KEVIN SCOTT GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8609 W GRAND RIVER AVE, SUITE 201, BRIGHTON, MI 48116-4398
(810) 225-0022
(810) 225-0033
Mailing address
8609 W GRAND RIVER AVE, SUITE 201, BRIGHTON, MI 48116-4398
(810) 225-0022
(810) 225-0033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015657
MI
Other
Enumeration date
10/24/2006
Last updated
06/10/2008
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