Individual
DR. GRANT ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 W 83RD ST, SUITE 103, PRAIRIE VILLAGE, KS 66208-5121
(913) 649-5600
(913) 649-2069
Mailing address
3700 W 83RD ST, SUITE 103, PRAIRIE VILLAGE, KS 66208-5121
(913) 649-5600
(913) 649-2069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60155
KS
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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