Individual
DANIEL A GRUMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
830 MERAMEC STATION RD, TWIN OAKS, MO 63088-1146
(636) 225-4555
Mailing address
921 KIEFER TRAIL RD., BALLWIN, MO 63021
(636) 227-4003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12504
MO
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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