Organization
GROTH DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GROTH DDS (PRESIDENT, OWNER)
(248) 885-8247
Entity
Organization
Contact information
Practice address
32100 TELEGRAPH RD STE 195, BINGHAM FARMS, MI 48025-2453
(248) 885-8247
Mailing address
32100 TELEGRAPH RD STE 195, BINGHAM FARMS, MI 48025-2453
(248) 885-8247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/28/2018
Last updated
07/22/2021
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