| NPI | 1659107357 |
|---|---|
| Doing Business As | THE GROVE DENTAL GP |
| Entity Type | Organization |
| Authorized Contact | MICHASEL JACOB BRATLAND Owner 541-643-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |