Baron Grutter Dds Llc | |
5601 Ne Antioch Rd Suite 5 Gladstone MO 64119-2300 | |
(816) 455-1200 | |
(816) 455-1021 |
Full Name | Baron Grutter Dds Llc |
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Speciality | Dentist - General Practice |
Location | 5601 Ne Antioch Rd, Gladstone, Missouri |
Authorized Official Name and Position | Baron G Grutter (OWNER/DENTIST) |
Authorized Official Contact | 8164551200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baron Grutter Dds Llc 5601 Ne Antioch Rd Suite 5 Gladstone MO 64119-2300 Ph: (816) 401-2561 | Baron Grutter Dds Llc 5601 Ne Antioch Rd Suite 5 Gladstone MO 64119-2300 Ph: (816) 455-1200 |
NPI Number | 1306130091 |
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Provider Enumeration Date | 05/31/2011 |
Last Update Date | 05/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306130091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2010016293 (Missouri) | Primary |
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