Individual
AMBER NICOLE GRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1509 AVENUE G, COUNCIL BLUFFS, IA 51501-2516
(712) 325-1544
Mailing address
3828 CASS ST APT 6, OMAHA, NE 68131-1851
(605) 366-2274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09557
IA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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