SearchArizona103TC2200X

Larry Grimm, ED.D

NPI 1396966453 · on the registry since 2007 · sole proprietor

Practice

Address
222 S. Summit Ave., Ste. 1
Prescott, AZ 86303
Phone
(928) 443-0428
Fax
(928) 443-0454
Organisation at this address
Spurgeon Dental Pc
Bryan Reeder Dmd Pllc
Harald Gutgsell Md Plc
H. Wayne Chesser Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
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 Arizona