Individual
DR. THOMAS P. GROTENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 W VALLEY RD, APPLETON, WI 54915-1485
(920) 733-1111
(920) 380-4056
Mailing address
1111 W VALLEY RD, APPLETON, WI 54915-1485
(920) 733-1111
(920) 380-4056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5291
WI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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