Individual
DR. WILLIAM GORDON GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 BROADWAY E, GRANVILLE, OH 43023-1303
(703) 868-4987
Mailing address
55 EAST 9TH AVE APT 323, COLUMBUS, OH 43201
(703) 868-4987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13593
NC
122300000X
Dentist
30.026478
OH
Other
Enumeration date
05/13/2021
Last updated
11/04/2024
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