Roger Glen Grimball Jr. D.d.s. LLC

NPI #1821662297 in Sulphur, Louisiana

Provider Information

NPI Number
1821662297
Entity Type
Organization
Organization Name
Roger Glen Grimball Jr. D.d.s. LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 19, 2021
Last Updated
Jul 28, 2021

Practice Location

Address
1570 MAPLEWOOD DR
ZIP Code
70663-5643
Phone
(337) 625-2212

Authorized Official

Name
DR. ROGER GLEN GRIMBALL JR.
Title
DENTIST
Phone
(337) 625-2212

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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