Gladstone Family Dentistry L.l.c.

NPI #1730365529 in Gladstone, Missouri

Provider Information

NPI Number: 1730365529
Entity Type: Organization
Organization Name: Gladstone Family Dentistry L.l.c.
Primary Specialty: Dentist
Enumeration Date: Jan 11, 2008
Last Updated: Jan 11, 2008

Practice Location

Address: 6301 N OAK TRFY
Address 2: SUITE 202
City: Gladstone
State: Missouri
ZIP Code: 64118-4705
Phone: (816) 452-2420

Authorized Official

Name: DEE HEISKELL
Title: OFFICE MANAGER
Phone: (816) 452-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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