| Keith Grote, Dmd | |
|
635 Anderson Rd Ste 16 Davis CA 95616-3505 | |
| (530) 756-8800 | |
| Not Available |
| Full Name | Keith Grote, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 635 Anderson Rd Ste 16, Davis, California |
| Authorized Official Name and Position | Keith Grote (OWNER) |
| Authorized Official Contact | 5307568800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Grote, Dmd 635 Anderson Rd Ste 16 Davis CA 95616-3505 Ph: () - | Keith Grote, Dmd 635 Anderson Rd Ste 16 Davis CA 95616-3505 Ph: (530) 756-8800 |
| NPI Number | 1972011153 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972011153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46597 (California) | Primary |
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