SearchMissouri122300000X

Mary Grimm, DMD

NPI 1285783563 · on the registry since 2007

Practice

Address
9785 Mackenzie
Suite 106
St Louis, MO 63123
Phone
(314) 631-2000
Fax
(314) 631-2002

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri