Simon Grock DDS Apc
NPI #1184034894 in Marina Del Rey, California
Provider Information
- NPI Number
- 1184034894
- Entity Type
- Organization
- Organization Name
- Simon Grock DDS Apc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 2, 2014
- Last Updated
- Mar 1, 2016
Practice Location
- Address
- 4553 GLENCOE AVE # 310
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-7906
- Phone
- (310) 384-3404
Authorized Official
- Name
- DR. SIMON GROCK, DDS
- Title
- CORP.PRESIDENT
- Phone
- (310) 384-3404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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