Individual
RONNIE L GRUNDSET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4910 NW 27TH CT, GAINESVILLE, FL 32606-6590
(352) 371-3300
(352) 374-9247
Mailing address
4910 NW 27TH CT, GAINESVILLE, FL 32606-6590
(352) 371-3300
(352) 374-9247
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN9219
FL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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