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PATRICIA GRIMALDOS DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1356822399
Individual Registrant: PATRICIA GRIMALDOS DDS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4843 RIVER OAKS BLVD RIVER OAKS, TX 76114 US
Tel: 682-235-9059 Fax: --
Tel: 682-235-9059 Fax: --
Contact information for business:
7024 CASTLE CREEK DR E FORT WORTH, TX 76132-3704 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1356822399
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TX | 33923 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
