Individual
GARRET CHRISTIAN GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1308 NE DEPOT DR, LEES SUMMIT, MO 64086-5575
(316) 250-9936
Mailing address
1308 NE DEPOT DR, LEES SUMMIT, MO 64086-5575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2015020285
MO
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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