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Organization
KEITH GROTE, DMD
Active
Organization
KEITH GROTE, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GROTE (OWNER)
(530) 756-8800
Entity
Organization
Contact information
Practice address
635 ANDERSON RD STE 16, DAVIS, CA 95616-3505
(530) 756-8800
Mailing address
635 ANDERSON RD STE 16, DAVIS, CA 95616-3505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46597
CA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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