Grover, Manita
Grover, Manita is an individual health care provider with primary practice located at 148 Northbay Ct , Glen Carbon IL 62034-2994. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Grover, Manita can be contacted via phone (317) 693-9801.Contact Information
Primary practice address
148 Northbay Ct
Glen Carbon IL 62034-2994
Phone: (317) 693-9801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019032707 | Illinois |
Profile Details
| NPI number | 1205454469 |
|---|---|
| LBN Legal business name | Grover, Manita |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2020 |
| Last updated | Jul 13th, 2020 - about 5 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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