Individual
DR. NICHOLAS LAMAR GRONEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
186 S 1100 E, AMERICAN FORK, UT 84003-2817
(801) 756-5136
Mailing address
186 S 1100 E, AMERICAN FORK, UT 84003-2817
(801) 756-5136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5255056-8903
UT
1223G0001X
General Practice Dentistry
Primary
5255056-9922
UT
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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