DR. Carol Deborah Grimm, D.D.S.

NPI #1801998364 in Berkeley, California

Provider Information

NPI Number: 1801998364
Entity Type: Individual
Name: DR. Carol Deborah Grimm, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S.
Enumeration Date: Sep 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2999 REGENT ST
Address 2: SUITE 403
City: Berkeley
State: California
ZIP Code: 94705-2146
Phone: (510) 843-6341

Specialties & Taxonomy Codes

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

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