Individual
CRAIG GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 SW 3RD ST, LEES SUMMIT, MO 64063-2326
(816) 246-9995
(816) 246-9998
Mailing address
101 SW 3RD ST, LEES SUMMIT, MO 64063-2326
(816) 246-9995
(816) 246-9998
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15889
MO
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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