DR. Simon Grock, DDS

NPI #1235590787 in Marina Del Rey, California

Provider Information

NPI Number: 1235590787
Entity Type: Individual
Name: DR. Simon Grock, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 4553 GLENCOE AVE # 310
City: Marina Del Rey
State: California
ZIP Code: 90292-7906
Phone: (310) 384-3404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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