Individual
DR. GRANT KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4402 E 32ND ST STE B, JOPLIN, MO 64804-4453
(417) 781-2900
Mailing address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2015016761
MO
Other
Enumeration date
06/01/2015
Last updated
07/24/2020
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