| The Grove Family Dental | |
|
10043 Bruceville Road Unit 160 Elk Grove CA 95757 | |
| (916) 515-1000 | |
| Not Available |
| Full Name | The Grove Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10043 Bruceville Road, Elk Grove, California |
| Authorized Official Name and Position | Jeron Phillip Winslow (OWNER) |
| Authorized Official Contact | 9165151000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grove Family Dental 4000 Truxel Rd Ste 2 Sacramento CA 95834-3726 Ph: (916) 515-1000 | The Grove Family Dental 10043 Bruceville Road Unit 160 Elk Grove CA 95757 Ph: (916) 515-1000 |
| NPI Number | 1386287027 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386287027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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