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Organization

KALONA FAMILY DENTAL, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMARA L GRIMM DDS (MANAGING MEMBER, OWNER)
(319) 656-3264
Entity
Organization

Contact information

Practice address
1206 E AVE, KALONA, IA 52247-9767
(319) 656-3264
(319) 656-3665
Mailing address
1206 E AVE, KALONA, IA 52247-9767
(319) 656-3264
(319) 656-3665

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/26/2020
Last updated
06/26/2020
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