Organization
DAVID S. GRODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GRODY (OWNER)
(207) 622-0450
Entity
Organization
Contact information
Practice address
2689 N BELFAST AVE, AUGUSTA, ME 04330-0204
(207) 622-0450
Mailing address
2689 N BELFAST AVE, AUGUSTA, ME 04330-0204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3379
ME
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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