DR. Michael R. Groen, D.D.S.

NPI #1225107956 in Lynden, Washington

Provider Information

NPI Number: 1225107956
Entity Type: Individual
Name: DR. Michael R. Groen, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 506 GROVER ST
Address 2: #108
City: Lynden
State: Washington
ZIP Code: 98264-1960
Phone: (360) 354-6036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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