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Individual

DR. HEATH A GROTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2916 CROSSING CT, SUITE C, CHAMPAIGN, IL 61822-6199
(217) 352-5809
(217) 352-5812
Mailing address
2916 CROSSING COURT, SUITE C, CHAMPAIGN, IL 61822
(217) 352-5809
(217) 352-5812

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019024132
IL

Other

Enumeration date
05/24/2006
Last updated
01/07/2011
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