Individual
DR. WILLIAM ROBERT GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4335 S COUNTY RD, KOKOMO, IN 46902
(765) 455-1971
(765) 455-1973
Mailing address
4335 S COUNTY RD, KOKOMO, IN 46902
(765) 455-1971
(765) 455-1973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54000577A
IN
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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