Individual
ERICA PAIGE GRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13163 STATE LINE RD, KANSAS CITY, MO 64145-1650
(816) 931-5320
Mailing address
5536 NE ANTIOCH RD, KANSAS CITY, MO 64119-2301
(816) 413-9009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2017018009
MO
1223G0001X
General Practice Dentistry
Primary
2017018009
MO
Other
Enumeration date
06/12/2017
Last updated
03/28/2023
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