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Organization

GLADSTONE FAMILY DENTAL ASSOCIATES LLC

Active
Other names
Gladstone Family Dental Associates LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY DALE DDS (OWNER)
(816) 452-3420
Entity
Organization

Contact information

Practice address
2019 NE 72ND STREET, 105, GLADSTONE, MO 64118
(816) 452-3420
Mailing address
2019 NE 72ND STREET, 105, GLADSTONE, MO 64118
(816) 452-3420
(816) 454-2777

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/03/2019
Last updated
10/03/2019
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