THOMAS D GROOM

ANN ARBOR, MI
NPI1891819983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  2901019367)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MI  2901019367)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- THOMAS D GROOM DDS
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109-1012
Phone number: 734-936-1547
Mailing Address
-- THOMAS D GROOM DDS
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109-1012
Phone number: 734-936-1547