Individual
DR. VLADIMIR A GRISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2105 W KEARNEY ST STE A, SPRINGFIELD, MO 65803-1666
(417) 862-2468
Mailing address
2105 W KEARNEY ST STE A, SPRINGFIELD, MO 65803-1666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2023021432
MO
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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