Organization
ERIC GROENEVELD DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC P GROENEVELD DDS (PRESIDENT)
(586) 727-0990
Entity
Organization
Contact information
Practice address
68720 S MAIN ST, RICHMOND, MI 48062-1295
(586) 727-0990
(586) 727-4872
Mailing address
68720 S MAIN ST, RICHMOND, MI 48062-1295
(586) 727-0990
(586) 727-4872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019902
MI
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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