J.reese Graue D.d.s. LLC

NPI #1528347242 in Gladstone, Missouri

Provider Information

NPI Number: 1528347242
Entity Type: Organization
Organization Name: J.reese Graue D.d.s. LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 11, 2011
Last Updated: Aug 11, 2011

Practice Location

Address: 6301 N OAK TRFY
Address 2: SUITE 202
City: Gladstone
State: Missouri
ZIP Code: 64118-4759
Phone: (816) 452-2420

Authorized Official

Name: DR. JOHN REESE GRAUE, D.D.S.
Title: OWNER
Phone: (816) 452-2420

Specialties & Taxonomy Codes

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

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