Individual
DR. GERALD DANE GROVENSTEIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3139 SAWYER DR, HOOVER, AL 35226-7002
(770) 365-8515
Mailing address
3302 KENLEY WAY, BIRMINGHAM, AL 35242-8021
(770) 365-8515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6302
AL
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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