Individual
DR. SUSAN CAROL GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS., MS
Contact information
Practice address
564 MEADOW LN, WOOSTER, OH 44691-1519
(330) 466-1047
Mailing address
208 B EAST MILLTOWN RD, WOOSTER, OH 44691
(330) 345-3070
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18436
OH
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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