Edwin Fred Grimes JR., D.D.S.

NPI #1972726172 in Fredericksburg, Texas

Provider Information

NPI Number: 1972726172
Entity Type: Individual
Name: Edwin Fred Grimes JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 10, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 101 W CREEK ST
City: Fredericksburg
State: Texas
ZIP Code: 78624-3730
Phone: (830) 990-1178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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