| NPI | 1881254217 |
|---|---|
| Doing Business As | GROVE DENTIST |
| Entity Type | Organization |
| Authorized Contact | SANDU FLORIN ALB Dentist 612-840-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |