Individual
ANDREW D. GRUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., F.A.G.D.
Contact information
Practice address
810 LANDMARK DR, SUITE 114, GLEN BURNIE, MD 21061-4987
(410) 766-2744
Mailing address
810 LANDMARK DR, SUITE 114, GLEN BURNIE, MD 21061-4987
(410) 766-2744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7170
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X DENTIST
TAXONOMIES
—
01
—
7170
LICENSE #
MD
Enumeration date
09/03/2008
Last updated
09/03/2008
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