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Organization
SOUVIRON & GROH DENTAL LEADERS PA
Active
Organization
SOUVIRON & GROH DENTAL LEADERS PA
Active
Other names
K Randall Groh DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K RANDALL GROH DDS (PRESIDENT)
(305) 442-1177
Entity
Organization
Contact information
Practice address
336 ALHAMBRA CIRCLE, CORAL GABLES, FL 33134
(305) 442-1177
(305) 445-8928
Mailing address
336 ALHAMBRA CIRCLE, CORAL GABLES, FL 33134
(305) 442-1177
(305) 445-8928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3003
FL
1223G0001X
General Practice Dentistry
3170
FL
1223G0001X
General Practice Dentistry
Primary
DN10914
FL
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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