MARY A GROTE

BEAVER DAM, WI
NPI1629171962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  2582-015)
Enumeration Date2006-09-05
Last Update Date2007-07-08
Business Address
Dr. MARY A GROTE DDS
301 S ROOSEVELT DR SUITE A
BEAVER DAM, WI 53916-2439
Phone number: 920-887-8423
Mailing Address
Dr. MARY A GROTE DDS
301 SOUTH ROOSEVELT DR. SUITE A
BEAVER DAM, WI 53916-2442
Phone number: 920-887-8423