SIMON GROCK DDS APC

MARINA DEL REY, CA
NPI1184034894
Entity TypeOrganization
Authorized ContactSIMON GROCK
Corp.President
310-384-3404
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2014-05-02
Last Update Date2016-03-01
Business Address
SIMON GROCK DDS APC
4553 GLENCOE AVE # 310
MARINA DEL REY, CA 90292-7906
Phone number: 310-384-3404
Mailing Address
SIMON GROCK DDS APC
4553 GLENCOE AVE # 310
MARINA DEL REY, CA 90292-7906
Phone number: 310-384-3404
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