Individual
DR. JON JAMES GRUCHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4010 SOUTH CHURCH DRIVE, NEW BERLIN, WI 53151
(262) 784-2449
(262) 784-7873
Mailing address
4010 SOUTH CHURCH DRIVE, NEW BERLIN, WI 53151
(262) 784-2449
(262) 784-7873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3978
WI
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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