| 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 |