MR. Shawn Reed Groll, DMD

NPI #1700801644 in Hyrum, Utah

Provider Information

NPI Number: 1700801644
Entity Type: Individual
Name: MR. Shawn Reed Groll, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 26 W MAIN ST
City: Hyrum
State: Utah
ZIP Code: 84319-1206
Phone: (435) 245-5866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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