Most Relevant Information
Provider Data
| NPI Number: | 1003647090 |
| Provider Name: | SARAH NICOLE GRUPP DMD, MMS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401419115 |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
944 GLENWOOD STATION LN STE 203
CHARLOTTESVILLE
VA
229011480
Practice Location Phone/Fax
| Phone: | 4349737011 |
| Fax: |
Provider Mailing Location
944 GLENWOOD STATION LN STE 203
CHARLOTTESVILLE
VA
229011480
Provider Mailing Phone/Fax
| Phone: | 4349737011 |
| Fax: |