Individual
JOHN KYLE GROBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4901 W BELL RD STE 100, GLENDALE, AZ 85308-3414
(602) 843-1275
Mailing address
9588 W CASHMAN DR, PEORIA, AZ 85383-4165
(480) 532-8265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011803
AZ
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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