DR. Kelly Gruetzmacher Groskopf, D.D.S.
NPI #1962850701 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1962850701
- Entity Type
- Individual
- Name
- DR. Kelly Gruetzmacher Groskopf, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 2, 2016
- Last Updated
- Mar 3, 2017
Practice Location
- Address
- W381N8165 ROLLING RIVER CIR
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-8950
- Phone
- (715) 459-3222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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