NPI 1023348729

Holly J Grimslid, DMDMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry La Crosse, WI

Practice location

Address: 1200 Main St, La Crosse, WI 54601-4102
Phone: (608) 782-6778

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 5251-015 (WI)

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Registry record

NPI: 1023348729
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2010
Record last updated: 4 Jan 2010

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.