Organization
CRAIG GRIDER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG GRIDER D.D.S. (PRESIDENT)
(816) 246-9995
Entity
Organization
Contact information
Practice address
101 SW 3RD ST, LEES SUMMIT, MO 64063-2326
(816) 246-9995
Mailing address
101 SW 3RD ST, LEES SUMMIT, MO 64063-2326
(816) 246-9995
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 015889
MO
Other
Enumeration date
07/30/2006
Last updated
04/28/2015
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