Individual
DR. DEREK CHARLES GILMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6400 MAIN ST, GRANDVIEW, MO 64030-2697
(816) 761-7111
(816) 761-0392
Mailing address
6400 MAIN ST, GRANDVIEW, MO 64030-2697
(816) 761-7111
(816) 761-0392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015826
MO
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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