Individual
WILLIAM ARTHUR GROSDIDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(651) 468-9356
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13681
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D13681
MN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/03/2016
Last updated
03/18/2025
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