Individual
ROBERT GRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 991-5642
Mailing address
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 991-5642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4663
ID
Other
Enumeration date
07/09/2015
Last updated
11/09/2016
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