CHARLES RAYMOND KONDO GROTHE

ENID, OK
NPI1972616712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  4600)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
Mr. CHARLES RAYMOND KONDO GROTHE DDS
401 E RANDOLPH
ENID, OK 73701
Phone number: 580-233-4561
Mailing Address
Mr. CHARLES RAYMOND KONDO GROTHE DDS
401 E RANDOLPH
ENID, OK 73701
Phone number: 580-233-4561