Mark J Grevlich, DDS

NPI #1245498641 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1245498641
Entity Type: Individual
Name: Mark J Grevlich, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: N68W33420 HWY K
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066
Phone: (262) 966-9798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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