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Individual

MR. DAVID STEPHAN GRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2689 NORTH BELFAST AVENUE, AUGUSTA, ME 04330
(207) 622-0450
(207) 622-6387
Mailing address
2689 NORTH BELFAST AVENUE, AUGUSTA, ME 04330
(207) 622-0450
(207) 622-6387

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3379
ME

Other

Enumeration date
09/13/2007
Last updated
09/13/2007
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