Individual
KEVIN DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
344 S YELLOWSTONE DR, MADISON, WI 53705-4321
(608) 824-8085
Mailing address
344 S YELLOWSTONE DR, MADISON, WI 53705-4321
(608) 824-8085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7060-15
WI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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