Doc Grok PC

NPI #1427297662 in Sisters, Oregon

Provider Information

NPI Number: 1427297662
Entity Type: Organization
Organization Name: Doc Grok PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 11, 2009
Last Updated: Oct 14, 2010

Practice Location

Address: 354 W ADAMS ST
City: Sisters
State: Oregon
ZIP Code: 97759
Phone: (541) 549-0973

Authorized Official

Name: CASSANDRA ABDELNOUR
Title: OFFICE MANAGER
Phone: (503) 806-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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