Individual
DR. KEVIN DEAN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32100 TELEGRAPH RD, SUITE 195, BINGHAM FARMS, MI 48025-2452
(248) 885-8247
(248) 644-8225
Mailing address
32100 TELEGRAPH RD, SUITE 195, BINGHAM FARMS, MI 48025-2452
(248) 885-8247
(248) 644-8225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020942
MI
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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