Individual
DR. NICHOLAS PAUL GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 484-7645
Mailing address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 484-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3881
AR
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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