Dr. Michael H. Grousd DDS Ma Ltd

NPI #1972656890 in Vernon Hills, Illinois

Provider Information

NPI Number: 1972656890
Entity Type: Organization
Organization Name: Dr. Michael H. Grousd DDS Ma Ltd
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Jan 22, 2007
Last Updated: Dec 7, 2007

Practice Location

Address: 1 E PHILLIP RD
Address 2: SUITE 101
City: Vernon Hills
State: Illinois
ZIP Code: 60061-1858
Phone: (847) 367-4190

Authorized Official

Name: LINDA L MCMANAMON
Title: MANAGER
Phone: (847) 367-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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