Individual
HOLLY MARIE GROVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H B.S
Contact information
Practice address
955 MAIN ST, SANFORD, ME 04073-3574
(207) 324-0026
(207) 324-0013
Mailing address
955 MAIN ST, SANFORD, ME 04073-3574
(207) 324-0026
(207) 324-0013
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3197
ME
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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