Eagle River Dental Associates

NPI #1841616216 in Bryan, Texas

Provider Information

NPI Number
1841616216
Entity Type
Organization
Organization Name
Eagle River Dental Associates
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 10, 2014
Last Updated
Mar 10, 2014

Practice Location

Address
3201 UNIVERSITY DR E
Address 2
SUITE 170
City
Bryan
State
Texas
ZIP Code
77802-3475
Phone
(979) 774-1255

Authorized Official

Name
DR. KEITH T GRIMM, DMD
Title
PRESIDENT
Phone
(979) 774-1255

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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