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Search › Wisconsin › General Practice Dentistry

Jon Gruchalski, DDS

NPI 1083873004 · on the registry since 2008

Practice

Address
4010 South Church Drive
New Berlin, WI 53151
Phone
(262) 784-2449
Fax
(262) 784-7873
Organisation at this address
Fresh Coast Dental 2 Llc
Applewhite Dental Wisconsin, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin