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Individual
ANDREW D. GRUVER
Active
Individual
ANDREW D. GRUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., F.A.G.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7170
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X DENTIST
TAXONOMIES
—
01
—
7170
LICENSE #
MD
Enumeration date
09/03/2008
Last updated
09/03/2008
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