MR. Charles Raymond Kondo Grothe, DDS

NPI #1972616712 in Enid, Oklahoma

Provider Information

NPI Number: 1972616712
Entity Type: Individual
Name: MR. Charles Raymond Kondo Grothe, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 401 E RANDOLPH
City: Enid
State: Oklahoma
ZIP Code: 73701
Phone: (580) 233-4561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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