Individual
DR. MOIRA GINI GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2003 46TH AVE, GREELEY, CO 80634-3250
(970) 330-4600
Mailing address
2003 46TH AVE, GREELEY, CO 80634-3250
(970) 330-4600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
00202738
CO
1223P0221X
Pediatric Dentistry
057812
NY
1223P0221X
Pediatric Dentistry
1572
WY
Other
Enumeration date
04/11/2012
Last updated
05/17/2022
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