Individual
RONALD L GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
973 SKYLINE DR SW, ROCHESTER, MN 55902-1220
(507) 424-1040
Mailing address
973 SKYLINE DR SW, ROCHESTER, MN 55902-1220
(507) 424-1040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9882
MN
1223P0221X
Pediatric Dentistry
Primary
D9882
MN
Other
Enumeration date
04/23/2007
Last updated
11/05/2013
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