TALVA GRUNDSTROM, D,M,D,

Dentist

Active Individual
NPI: 1023115821

Practice Address

2022 WILLIAMS ST
Jefferson City, MO 65109

Phone: (573) 634-4414

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 014579 (MO)

Frequently Asked Questions

NPI 1023115821 is the National Provider Identifier for TALVA GRUNDSTROM, D,M,D,, a Dentist provider located in Jefferson City, MO. This NPI was enumerated on September 20, 2006.
TALVA GRUNDSTROM, D,M,D, practices at 2022 WILLIAMS ST, Jefferson City, MO 65109.

Quick Facts

NPI
1023115821
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Jul 8, 2007

Nearby Providers