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Individual

DR. THOMAS DAVID GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
510 W JOHN ST, MATTHEWS, NC 28105-5353
(704) 845-1107
(704) 845-1370
Mailing address
510 W JOHN ST, MATTHEWS, NC 28105-5353
(704) 845-1107
(704) 845-1370

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5711
NC

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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