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Individual

DR. ADAM CHARLES GROBART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
60 MDG, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
(707) 423-7085
Mailing address
60 MDG, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033780
IL
171000000X
Military Health Care Provider

Other

Enumeration date
06/01/2022
Last updated
10/25/2023
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