| NPI | 1386287027 |
|---|---|
| Doing Business As | THE GROVE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JERON PHILLIP WINSLOW Owner 916-515-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |