Grove Dental Assoc

NPI #1013023084 in Grove, Oklahoma

Provider Information

NPI Number: 1013023084
Entity Type: Organization
Organization Name: Grove Dental Assoc
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2006
Last Updated: Jun 12, 2008

Practice Location

Address: 2209 S MAIN
City: Grove
State: Oklahoma
ZIP Code: 74344
Phone: (918) 786-5533

Authorized Official

Name: DR. STANLEY EDWARD CRAWFORD JR., DDS
Title: OWNER
Phone: (918) 786-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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