Organization · Type 2 NPI

The Grove Dental

Dental Clinic/Center · Cottage Grove, OR

NPI number 1114606787 Active

Practice location

510 E Whiteaker Ave
Cottage Grove, OR 97424-1648

Fax (541) 418-4311

Mailing address

PO Box 1541
Roseburg, OR 97470-0360

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1114606787

The Grove Dental's National Provider Identifier is 1114606787, issued on Jul 12, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cottage Grove, OR. The record was last updated on Jul 12, 2023.