DR. Mary A Grote, DDS
NPI #1629171962 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1629171962
- Entity Type
- Individual
- Name
- DR. Mary A Grote, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 301 S ROOSEVELT DR
- Address 2
- SUITE A
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2439
- Phone
- (920) 887-8423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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