Individual
ELIZABETH GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 TRIMMIER RD, KILLEEN, TX 76542-3411
(254) 284-1772
Mailing address
100 E 15TH ST, FORT WORTH, TX 76102-6550
(254) 284-1772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39560
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2023
Last updated
06/14/2023
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