Individual
DR. JAMES MADISON GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6026 N 59TH AVE, GLENDALE, AZ 85301-7709
(623) 931-1601
Mailing address
6850 E MAYO BLVD UNIT 1211, PHOENIX, AZ 85054-5681
(409) 692-6998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33813
TX
1223G0001X
General Practice Dentistry
Primary
D011163
AZ
Other
Enumeration date
06/15/2018
Last updated
08/10/2021
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