DR. Clark Joseph Grover, DMD

NPI #1912131301 in La Grande, Oregon

Provider Information

NPI Number
1912131301
Entity Type
Individual
Name
DR. Clark Joseph Grover, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
May 13, 2009
Last Updated
May 13, 2009

Practice Location

Address
10 PINE CREST DR
State
Oregon
ZIP Code
97850-1300
Phone
(541) 963-6625

Specialties & Taxonomy Codes

Specialty
Dentist

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