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PATRICIA GRIMALDOS DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1356822399

Individual Registrant:
 PATRICIA  GRIMALDOS DDS
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: --

Contact information for business:
7024 CASTLE CREEK DR E  FORT WORTH, TX 76132-3704 US
Tel: --  Fax: --

Registration Information:
NPI: 1356822399
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TX33923

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TX - Page 1



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