Individual
JOHN GROMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 554-0245
Mailing address
6330 CLYDES RD, INDIANAPOLIS, IN 46268-2528
(317) 297-1778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007007A
IN
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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