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Individual

GRANT BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
343 NW BARRY RD, KANSAS CITY, MO 64155-2740
(816) 643-3990
Mailing address
9621 N ADRIAN AVE, KANSAS CITY, MO 64154-1149
(573) 645-9022

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025020861
MO

Other

Enumeration date
06/13/2025
Last updated
06/13/2025
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