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Individual

DR. WILLIAM MICHAEL GROVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, PA

Contact information

Practice address
1602 LANCASTER DR., STE. 101, GRAPEVINE, TX 76051-0000
(817) 481-1622
(817) 251-0319
Mailing address
1602 LANCASTER DR., STE. 101, GRAPEVINE, TX 76051-0000
(817) 481-1622
(817) 251-0319

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12732
TX

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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