| NPI | 1447671862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PAUL GROTE General Dentist 479-806-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3881) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |