Individual
GRANT M WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 W 8TH ST, COFFEYVILLE, KS 67337-4109
(620) 251-4300
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61442
KS
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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