DAVID JEROME DEGRAVE

GREEN BAY, WI
NPI1518981711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  2833)
Enumeration Date2006-07-27
Last Update Date2019-03-12
Business Address
DR. DAVID JEROME DEGRAVE DDS
2040 CENTRAL CT
GREEN BAY, WI 54311-6276
Phone number: 920-468-0504
Mailing Address
DR. DAVID JEROME DEGRAVE DDS
2040 CENTRAL CT
GREEN BAY, WI 54311-6276
Phone number: 920-468-0504
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