Grove Endodontics, P.a.

NPI #1083789507 in Cottage Grove, Minnesota

Provider Information

NPI Number: 1083789507
Entity Type: Organization
Organization Name: Grove Endodontics, P.a.
Primary Specialty: Dentist - Endodontics
Enumeration Date: Nov 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8811 92ND ST S
Address 2: SUITE 109
City: Cottage Grove
State: Minnesota
ZIP Code: 55016-4036
Phone: (651) 768-8180

Authorized Official

Name: DR. THOMAS W WALDRON, D.D.S.
Title: PRESIDENT
Phone: (651) 768-8180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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