Individual
KAYDIANNE GROTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
606 W ADAMS ST, PITTSFIELD, IL 62363-1308
(217) 285-4407
(217) 285-4639
Mailing address
606 W ADAMS ST, PITTSFIELD, IL 62363-1308
(217) 285-4407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030824
IL
Other
Enumeration date
08/11/2016
Last updated
05/10/2024
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