Individual
DR. GRACIE ANN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4953
(941) 405-1600
Mailing address
11007 VIDA CIR UNIT 207, BRADENTON, FL 34211-2289
(608) 790-1622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN31936
FL
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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