DR. David Allen Grisar, D.D.S.

NPI #1508921420 in Grafton, Wisconsin

Provider Information

NPI Number: 1508921420
Entity Type: Individual
Name: DR. David Allen Grisar, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1515 WISCONSIN AVE
City: Grafton
State: Wisconsin
ZIP Code: 53024-1962
Phone: (262) 377-4130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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