DR. John Coalson Grissom, DDS

NPI #1982729372 in Grapevine, Texas

Provider Information

NPI Number
1982729372
Entity Type
Individual
Name
DR. John Coalson Grissom, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
210 N PARK BLVD
Address 2
SUITE 110
State
Texas
ZIP Code
76051-6985
Phone
(817) 488-8175

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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