Individual
DR. JARRETT STEPHEN GROSDIDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11313 ASH ST, LEAWOOD, KS 66211-1643
(913) 451-2929
(913) 451-2959
Mailing address
11313 ASH ST, LEAWOOD, KS 66211-1643
(913) 451-2929
(913) 451-2959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60129
KS
Other
Enumeration date
10/31/2006
Last updated
02/13/2020
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