Organization
NICK GROTE FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS PAUL GROTE DDS (GENERAL DENTIST)
(479) 806-6556
Entity
Organization
Contact information
Practice address
611 JEFFERSON ST, VAN BUREN, AR 72956-5159
(479) 474-2701
(479) 474-3977
Mailing address
611 JEFFERSON ST, VAN BUREN, AR 72956-5159
(479) 474-2701
(479) 474-3977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3881
AR
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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