Parker Durant Groom, DDS

NPI #1023701182 in Fort Wayne, Indiana

Provider Information

NPI Number
1023701182
Entity Type
Individual
Name
Parker Durant Groom, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 2, 2023
Last Updated
Jun 2, 2023

Practice Location

Address
10010 DUPONT CIRCLE CT
State
Indiana
ZIP Code
46825-1626
Phone
(260) 490-9949

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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