Talva Grundstrom, D,M,D,
NPI #1023115821 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1023115821
- Entity Type
- Individual
- Name
- Talva Grundstrom, D,M,D,
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D,M,D,
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2022 WILLIAMS ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-1186
- Phone
- (573) 634-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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