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Individual

DR. RON D GROVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2105 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6757
(817) 481-2770
(817) 488-5893
Mailing address
2105 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6757
(817) 481-2770
(817) 488-5893

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16055
TX

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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