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Simon Grock, DDS
NPI 1235590787 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4553 Glencoe Ave # 310
Marina Del Rey, CA 90292 - Phone
- (310) 384-3404
- Organisation at this address
- Simon Grock Dds Apc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California