Organization
J.REESE GRAUE D.D.S. LLC
Active
Other names
Gladstone Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REESE GRAUE D.D.S. (OWNER)
(816) 452-2420
Entity
Organization
Contact information
Practice address
6301 N OAK TRFY, SUITE 202, GLADSTONE, MO 64118-4759
(816) 452-2420
(816) 777-0836
Mailing address
6301 N OAK TRFY, SUITE 202, GLADSTONE, MO 64118-4759
(816) 452-2420
(816) 777-0836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO2008014151
MO
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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