| NPI | 1801317375 |
|---|---|
| Doing Business As | GROTE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GROTE Owner/Dentist 479-806-6556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: AR 3881) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2018-03-17 |