Individual
BEVERLY ANNETTE GRINSLADE
Active
Individual
BEVERLY ANNETTE GRINSLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYGIENIST
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH12070
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH 12070
HYGIENIST
—
Enumeration date
02/14/2006
Last updated
07/08/2007
Update your record
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