Individual
KATHLEEN GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
130 KOURT DR, EUGENE, OR 97404-2208
(541) 510-9861
Mailing address
130 KOURT DR, EUGENE, OR 97404-2208
(541) 510-9861
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5107
OR
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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