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DR. DAVID THOMAS GROVE DMD MS MSED MSC

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

Provider NPI: 1639237506

Provider Information:
DR. DAVID THOMAS GROVE DMD MS MSED MSC
Gender: M
Sole Proprietor

Practice Location:
247 BLUFFS AVE 103 ELKO, NV 89801-2455 US
Tel: 775-753-4870  Fax: 503-212-9922

Business Mailing Address:
10365 FELICE AVE  LAS VEGAS, NV 89135-3204 US
Tel: 702-278-8700  Fax: 503-212-9922

NPI Information:
NPI: 1639237506
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
NVS309

Other Provider Identifiers:

IssuerNumberStateType
100507705NV05



American Medical Association 2012 taxonomy code information

Code: 1223X0400X

Type:

Classification:



Definition:



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