| Baron Grutter DDS LLC | |
|
5601 Ne Antioch Rd Suite 5 Gladstone MO 64119-2300 | |
| (816) 455-1200 | |
| (816) 455-1021 |
| Full Name | Baron Grutter DDS LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5601 Ne Antioch Rd, Gladstone, Missouri |
| Authorized Official Name and Position | Baron G Grutter (OWNER/DENTIST) |
| Authorized Official Contact | 8164551200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baron Grutter DDS LLC 5601 Ne Antioch Rd Suite 5 Gladstone MO 64119-2300 Ph: (816) 401-2561 | Baron Grutter DDS LLC 5601 Ne Antioch Rd Suite 5 Gladstone MO 64119-2300 Ph: (816) 455-1200 |
| NPI Number | 1306130091 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 05/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306130091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2010016293 (Missouri) | Primary |
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