Individual
DR. MARY A GROTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
301 S ROOSEVELT DR, SUITE A, BEAVER DAM, WI 53916-2439
(920) 887-8423
(920) 887-8471
Mailing address
301 SOUTH ROOSEVELT DR., SUITE A, BEAVER DAM, WI 53916-2442
(920) 887-8423
(920) 887-8471
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2582-015
WI
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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