Cody Shawn Groll, DDS

NPI #1215662788 in Pittsburg, Kansas

Provider Information

NPI Number
1215662788
Entity Type
Individual
Name
Cody Shawn Groll, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 19, 2022
Last Updated
Feb 3, 2023

Practice Location

Address
3011 N MICHIGAN ST
State
Kansas
ZIP Code
66762-2546
Phone
(202) 319-8736

Specialties & Taxonomy Codes

Specialty
Dentist

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