DR. Brently Allan Grimard, D.D.S., M.S.

NPI #1093999179 in Pueblo, Colorado

Provider Information

NPI Number: 1093999179
Entity Type: Individual
Name: DR. Brently Allan Grimard, D.D.S., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S., M.S.
Enumeration Date: Dec 24, 2007
Last Updated: Dec 2, 2008

Practice Location

Address: 3903 OUTLOOK BLVD
City: Pueblo
State: Colorado
ZIP Code: 81008-1624
Phone: (719) 545-6485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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