Individual
DR. LARRY DEGROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32100 TELEGRAPH RD, SUITE 102, BINGHAM FARMS, MI 48025-2452
(248) 644-1216
(246) 644-1567
Mailing address
32100 TELEGRAPH RD, SUITE 102, BINGHAM FARMS, MI 48025-2452
(248) 644-1216
(246) 644-1567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010605
MI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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