Individual
DR. TODD CLINTON GROESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
247 W 2230 N STE 101, PROVO, UT 84604-7582
(801) 375-1414
Mailing address
247 W 2230 N STE 101, PROVO, UT 84604-7582
(801) 232-1881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8372408-9922
UT
Other
Enumeration date
07/19/2012
Last updated
07/20/2012
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