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1174177281
GRANT R SMITH DDS PA
PRAIRIE VILLAGE, KS
NPI
1174177281
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Entity Type
Organization
Authorized Contact
GRANT R SMITH
Owner
913-649-5600
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
GRANT R SMITH DDS PA
3700 W 83RD ST STE 111
PRAIRIE VILLAGE, KS 66208-5120
Phone number: 913-659-5600
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Mailing Address
GRANT R SMITH DDS PA
PO BOX 3000
SALEM, OR 97302-8001
Phone number:
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