DR. Robert Albert Grossklaus, DDS

NPI #1720290927 in Lapwai, Idaho

Provider Information

NPI Number: 1720290927
Entity Type: Individual
Name: DR. Robert Albert Grossklaus, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 111 BEAVER GRADE
Address 2: NI M& I PUU
City: Lapwai
State: Idaho
ZIP Code: 83540
Phone: (208) 843-2271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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