Individual
KENNETH RANDALL GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
336 ALHAMBRA CIR, CORAL GABLES, FL 33134-5004
(305) 442-1177
Mailing address
336 ALHAMBRA CIRCLE, CORAL GABLES, FL 33134-5004
(305) 442-1177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10914
FL
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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