| Simon Grock Dds Apc | |
|
4553 Glencoe Ave # 310 Marina Del Rey CA 90292-7906 | |
| (310) 384-3404 | |
| Not Available |
| Full Name | Simon Grock Dds Apc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4553 Glencoe Ave # 310, Marina Del Rey, California |
| Authorized Official Name and Position | Simon Grock (CORP.PRESIDENT) |
| Authorized Official Contact | 3103843404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Grock Dds Apc 4553 Glencoe Ave # 310 Marina Del Rey CA 90292-7906 Ph: (310) 384-3404 | Simon Grock Dds Apc 4553 Glencoe Ave # 310 Marina Del Rey CA 90292-7906 Ph: (310) 384-3404 |
| NPI Number | 1184034894 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184034894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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