Not 'necessary' to remove the grill, but it sure does make it a ton easier to get the headlights in and out. I just upgraded from a 2014 RAM 1500 Laramie Longhorn to a 2015 RAM 3500 Laramie Longhorn - only 48K miles. The first thing I did was to change to HID's in both the headlight (low beam)...
My 2015 RAM 3500 Laramie Longhorn did not come with a TPMS. My research indicates 'most' dually's just don't have them. Not sure if yours is SRW or DRW
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