| NPI | 1457987901 |
|---|---|
| Doing Business As | GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMANDA KURTZ Credentialing Specialist 724-698-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |