Organization
BARON GRUTTER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARON G GRUTTER DDS (OWNER/DENTIST)
(816) 455-1200
Entity
Organization
Contact information
Practice address
5601 NE ANTIOCH RD, SUITE 5, GLADSTONE, MO 64119-2300
(816) 455-1200
(816) 455-1021
Mailing address
5601 NE ANTIOCH RD, SUITE 5, GLADSTONE, MO 64119-2300
(816) 401-2561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2010016293
MO
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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