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Individual

DR. THOMAS NELSON GRONAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1439 ROMBACH AVE, SUITE 1, WILMINGTON, OH 45177-1990
(937) 382-7100
(937) 382-5662
Mailing address
1439 ROMBACH AVE, SUITE 1, WILMINGTON, OH 45177-1990
(937) 382-7100
(937) 382-5662

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19339
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2028479
OH
01
9185355
DORAL
OH
Enumeration date
04/16/2007
Last updated
07/08/2007
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