Grimard, Brently Allan

Grimard, Brently Allan is an sole proprietor health care provider with primary practice located at 3903 Outlook Blvd , Pueblo CO 81008-1624. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Grimard, Brently Allan can be contacted via phone (719) 545-6485.

Contact Information

Primary practice address
3903 Outlook Blvd Pueblo CO 81008-1624
Phone: (719) 545-6485
Fax: (719) 545-6486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 8681 Colorado

Profile Details

NPI number 1093999179
LBN Legal business name Grimard, Brently Allan
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2007
Last updated Dec 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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