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Individual

DR. ALISON ELAINE GROVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S,

Contact information

Practice address
570 GALLEGOS CIR, ERIE, CO 80516-2503
(303) 229-2125
Mailing address
570 GALLEGOS CIR, ERIE, CO 80516-2503
(303) 229-2125

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
00009912
CO
1223P0221X
Pediatric Dentistry
4170
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942483524
OFFICE NATIONAL PROVIDER IDENTIFIER
MT
Enumeration date
06/08/2009
Last updated
11/01/2016
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