Individual
TROY ANDRE VAN DER GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-2111
(559) 998-4220
Mailing address
937 FRANKLIN BLVD, LEMOORE, CA 93246-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416283
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416283
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
108610
CA
Other
Enumeration date
10/16/2018
Last updated
11/21/2023
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