Individual
DR. LAURA L GRADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
10555 N PORT WASHINGTON RD, SUITE 101, MEQUON, WI 53092-5582
(262) 241-4460
(262) 241-4486
Mailing address
1727 W EL RANCHO DR, MEQUON, WI 53092-5637
(262) 241-0978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3633-015
WI
Other
Enumeration date
02/20/2007
Last updated
06/23/2014
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