# TROY VAN DER GROEN DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760312417
- **Authorized official:** TROY VAN DER GROEN DMD (PRESIDENT)
- **Authorized official phone:** (925) 348-3118

## Contact information

- **Practice address:** 1150 CIVIC DR STE 101, WALNUT CREEK, CA 94596-3760
- **Practice address phone:** (925) 940-2530
- **Mailing address:** 537 34TH AVE, SAN FRANCISCO, CA 94121-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2026
- **Last updated:** 05/22/2026