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1780939348
TODD CLINTON GROESBECK
PROVO, UT
NPI
1780939348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 8372408-9922)
Enumeration Date
2012-07-19
Last Update Date
2012-07-20
Business Address
Dr. TODD CLINTON GROESBECK D.M.D
247 W 2230 N STE 101
PROVO, UT 84604-7582
Phone number: 801-375-1414
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Mailing Address
Dr. TODD CLINTON GROESBECK D.M.D
247 W 2230 N STE 101
PROVO, UT 84604-7582
Phone number: 801-232-1881
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