Individual
DR. DAVID THOMAS GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS MSED MSC
Contact information
Practice address
247 BLUFFS AVE, 103, ELKO, NV 89801-2455
(775) 753-4870
(503) 212-9922
Mailing address
10365 FELICE AVE, LAS VEGAS, NV 89135-3204
(702) 278-8700
(503) 212-9922
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S309
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507705
—
NV
Enumeration date
12/04/2006
Last updated
03/23/2015
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