DR. Charles William Groesch, DDS

NPI #1366520736 in Springfield, Illinois

Provider Information

NPI Number
1366520736
Entity Type
Individual
Name
DR. Charles William Groesch, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS
Enumeration Date
Nov 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2534 FARRAGUT DRIVE
ZIP Code
62704
Phone
(217) 546-4674

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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