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1366520736
CHARLES WILLIAM GROESCH
SPRINGFIELD, IL
NPI
1366520736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 019015794)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. CHARLES WILLIAM GROESCH DDS
2534 FARRAGUT DRIVE
SPRINGFIELD, IL 62704
Phone number: 217-546-4674
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Mailing Address
Dr. CHARLES WILLIAM GROESCH DDS
2534 FARRAGUT DRIVE
SPRINGFIELD, IL 62704
Phone number: 217-546-4674
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