Organization
PARKVILLE PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL L GRAUE DDS (OWNER)
(816) 746-5437
Entity
Organization
Contact information
Practice address
6004 N.W. 9 HWY, PARKVILLE, MO 64152-3549
(816) 746-5437
Mailing address
6004 NW 9 HWY, PARKVILLE, MO 64152-3549
(816) 746-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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