Organization
GRANT T KIRK DDS LLC
Active
Other names
Joplin Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SOOTER FAADOM (OFFICE MANAGER)
(417) 781-2900
Entity
Organization
Contact information
Practice address
4402 E 32ND ST STE B, JOPLIN, MO 64804-4453
(417) 781-2900
Mailing address
4402 E 32ND ST STE B, JOPLIN, MO 64804-4453
(417) 781-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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