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Organization

JEREMY M GROVE DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY MARSHALL GROVE DDS (OWNER/DENTIST)
(810) 725-7511
Entity
Organization

Contact information

Practice address
501 S BRIDGE ST., LINDEN, MI 48451
(810) 735-7511
(810) 735-0918
Mailing address
P.O. BOX 127, 501 S BRIDGE ST., LINDEN, MI 48451
(810) 735-7511
(810) 735-0918

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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