Grove Dental LLC

NPI #1598203556 in Wethersfield, Connecticut

Provider Information

NPI Number: 1598203556
Entity Type: Organization
Organization Name: Grove Dental LLC
Primary Specialty: Dentist
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 1299 SILAS DEANE HWY
City: Wethersfield
State: Connecticut
ZIP Code: 06109-4302
Phone: (860) 571-8984

Authorized Official

Name: DR. THOMAS S SPONZO, D.M.D.
Title: PRESIDENT
Phone: (860) 571-8984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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