| NPI | 1902447618 |
|---|---|
| Doing Business As | GLADSTONE FAMILY DENTAL ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | GREGORY DALE Owner 816-452-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |