Grover, Clark Joseph
Grover, Clark Joseph is an sole proprietor health care provider with primary practice located at 10 Pine Crest Dr , La Grande OR 97850-1300. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Grover, Clark Joseph can be contacted via phone (541) 963-6625.Contact Information
Primary practice address
10 Pine Crest Dr
La Grande OR 97850-1300
Phone: (541) 963-6625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D4225 | Oregon |
Profile Details
| NPI number | 1912131301 |
|---|---|
| LBN Legal business name | Grover, Clark Joseph |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2009 |
| Last updated | May 13th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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