NPI 1659934701
Grimes Pediatric Dentistry P C
Practice location
- Address
- 1551 SE 3rd St STE 100, Grimes, IA 50111-8861
- Phone
- (515) 325-1719
- Fax
- (515) 373-4883
- Mailing address
- 40 Main St STE 100, Dubuque, IA 52001-7654
Authorised official
- Name
- Emmy Montes
- Title
- Cbo Manager
- Phone
- (563) 552-0053
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1659934701
- Entity type
- Organization
- NPI issued
- 15 Apr 2019
- Record last updated
- 15 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.