Organization
BARON DENTAL LLC
Active
Other names
King Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
BARON GRUTTER DDS (OWNER)
(816) 716-1000
Entity
Organization
Contact information
Practice address
1170 W KANSAS ST, SUITE R-2, LIBERTY, MO 64068-2036
(816) 716-1000
Mailing address
1170 W KANSAS ST, SUITE R-2, LIBERTY, MO 64068-2036
(816) 716-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010016293
MO
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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