Individual
DR. JESSICA L GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18900 W BLUEMOUND RD, SUITE 218, BROOKFIELD, WI 53045-6092
(262) 789-1490
(262) 789-6797
Mailing address
18900 W BLUEMOUND RD, SUITE 218, BROOKFIELD, WI 53045-6092
(262) 789-1490
(262) 789-6797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6918-15
WI
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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