Individual
DR. K ELIZABETH A GROOMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1212 BROAD ST, DURHAM, NC 27705-3572
(919) 286-4439
Mailing address
1212 BROAD ST, DURHAM, NC 27705-3572
(919) 286-4439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9014W
—
NC
Enumeration date
05/01/2006
Last updated
07/08/2007
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