NPI | 1306130091 |
---|---|
Entity Type | Organization |
Authorized Contact | BARON G GRUTTER Owner/Dentist 816-455-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2010016293) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2011-05-31 |