| NPI | 1467269753 |
|---|---|
| Doing Business As | THE GROVE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARCIE RAULS COO 608-438-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |