JACK GRODNER

SPRINGFIELD, OH
NPI1932115011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OH  15077)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
DR. JACK GRODNER DDS
413 E HOME RD
SPRINGFIELD, OH 45503-2708
Phone number: 937-390-3077
Mailing Address
DR. JACK GRODNER DDS
413 E HOME RD
SPRINGFIELD, OH 45503-2708
Phone number: 937-390-3077
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