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Individual

DR. ROBERT LEE GROVE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
305 FARMERS LN, SANTA ROSA, CA 95405-4722
(707) 569-9706
(707) 569-9708
Mailing address
305 FARMERS LN, SANTA ROSA, CA 95405-4722
(707) 569-9706
(707) 569-9708

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38536
CA

Other

Enumeration date
01/05/2007
Last updated
07/08/2007
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