Groen, Malory Jo
Groen, Malory Jo is an individual health care provider with primary practice located at 1714 N Randall Ave , Janesville WI 53545-0900. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Groen, Malory Jo can be contacted via phone (608) 756-1229.Contact Information
Primary practice address
1714 N Randall Ave
Janesville WI 53545-0900
Phone: (608) 756-1229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1002310-15 | Wisconsin |
Profile Details
| NPI number | 1235754516 |
|---|---|
| LBN Legal business name | Groen, Malory Jo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2020 |
| Last updated | Jun 11th, 2020 - about 6 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.
Popular Providers
-
Marinaro, Carrie A
1809 E Milwaukee St , Janesville WI 53545 -
O'Brien, Lauren Marie
1407 N Wright Rd , Janesville WI 53546-1314 -
Hehn, Daniel
1714 N Randall Ave , Janesville WI 53545-0900 -
Nawaz, Ana
113 S Franklin St , Janesville WI 53548-3812 -
Vuddaraju, Himabindu
1260 Milton Ave Ste 140 , Janesville WI 53545-1890 -
Aten, Kelly Renee
113 S Franklin St , Janesville WI 53548-3812 -
Mehta, Nishit Kaushik
1260 Milton Ave Ste 140 , Janesville WI 53545-1890 -
Mohammedi, Selma
1260 Milton Ave Ste 140-150 , Janesville WI 53545