Organization
GRANT R SMITH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT R SMITH DDS (OWNER)
(913) 649-5600
Entity
Organization
Contact information
Practice address
3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120
(913) 659-5600
Mailing address
PO BOX 3000, SALEM, OR 97302-8001
(888) 233-5233
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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