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Organization

DAYNE MICHAEL GROVE NATUROPATHIC DOCTOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAYNE MICHAEL GROVE ND, LAC (PRESIDENT)
(949) 572-8288
Entity
Organization

Contact information

Practice address
2664 NEWPORT BLVD, COSTA MESA, CA 92627-4641
(949) 631-5226
Mailing address
257 BROADWAY, COSTA MESA, CA 92627-2817
(949) 572-8288

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/02/2018
Last updated
05/02/2018
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