DR. Todd Clinton Groesbeck, D.M.D

NPI #1780939348 in Provo, Utah

Provider Information

NPI Number: 1780939348
Entity Type: Individual
Name: DR. Todd Clinton Groesbeck, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Jul 19, 2012
Last Updated: Jul 20, 2012

Practice Location

Address: 247 W 2230 N STE 101
City: Provo
State: Utah
ZIP Code: 84604-7582
Phone: (801) 375-1414

Specialties & Taxonomy Codes

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

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