Individual
JEREMY MARSHALL GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 S. BRIDGE ST., LINDEN, MI 48451
(810) 735-7511
Mailing address
P.O. BOX 127, 501 S. BRIDGE ST., LINDEN, MI 48451
(810) 735-7511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018824
MI
Other
Enumeration date
12/11/2006
Last updated
12/01/2009
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