Individual
MR. DANIEL J GROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
25225 N LAKE PLEASANT PKWY STE 1240, PEORIA, AZ 85383-1390
(623) 572-2683
Mailing address
150 N PANTANO RD, SUITE 100, TUCSON, AZ 85710
(520) 290-8787
(520) 290-2278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3317
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3317
AZ
Other
Enumeration date
12/11/2006
Last updated
04/15/2019
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