Baron Grutter DDS LLC

NPI #1306130091 in Gladstone, Missouri

Provider Information

NPI Number: 1306130091
Entity Type: Organization
Organization Name: Baron Grutter DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 31, 2011
Last Updated: May 31, 2011

Practice Location

Address: 5601 NE ANTIOCH RD
Address 2: SUITE 5
City: Gladstone
State: Missouri
ZIP Code: 64119-2300
Phone: (816) 455-1200

Authorized Official

Name: DR. BARON G GRUTTER, DDS
Title: OWNER/DENTIST
Phone: (816) 455-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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