Individual
MRS. JASMINE WYATT GRIECHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
802 E WALNUT ST, BELTON, MO 64012-2544
(816) 322-7600
(816) 322-7606
Mailing address
710 SW MISTY GLN, GRAIN VALLEY, MO 64029-2500
(816) 322-7600
(816) 322-7606
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
2009024711
MO
124Q00000X
Dental Hygienist
Primary
RDH22749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477563518
—
CA
05
—
FHC70081F
—
CA
Enumeration date
01/30/2008
Last updated
06/20/2011
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