Dr. Mary Grote

NPI #1740336114 in Beaver Dam, Wisconsin

Provider Information

NPI Number
1740336114
Entity Type
Organization
Organization Name
Dr. Mary Grote
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
301 S ROOSEVELT DR
Address 2
SUITE A
ZIP Code
53916-2439
Phone
(920) 887-8423

Authorized Official

Name
DR. MARY GROTE, DDS
Title
OWNER
Phone
(920) 887-8423

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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