Grundstrom, Talva
Grundstrom, Talva is an sole proprietor health care provider with primary practice located at 2022 Williams St , Jefferson City MO 65109-1186. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Grundstrom, Talva can be contacted via phone (573) 634-4414.Contact Information
Primary practice address
2022 Williams St
Jefferson City MO 65109-1186
Phone: (573) 634-4414
Fax: (573) 634-8385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 014579 | Missouri |
Profile Details
| NPI number | 1023115821 |
|---|---|
| LBN Legal business name | Grundstrom, Talva |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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