Individual
DR. DAVID ALLEN GRISAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1515 WISCONSIN AVE, GRAFTON, WI 53024-1962
(262) 377-4130
Mailing address
1515 WISCONSIN AVE, GRAFTON, WI 53024-1962
(262) 377-4130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5018-015
WI
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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