| NPI | 1528347242 |
|---|---|
| Doing Business As | GLADSTONE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN REESE GRAUE Owner 816-452-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO MO2008014151) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |