Individual
DR. RICHARD GROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
314 MAIN STREET, BOX 994, CONYNGHAM, PA 18219-0994
(570) 788-3963
Mailing address
314 MAIN STREET, BOX 994, CONYNGHAM, PA 18219-0994
(570) 788-3963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019074L
PA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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