Gladstone Family Dental Associates LLC

NPI #1902447618 in Gladstone, Missouri

Provider Information

NPI Number: 1902447618
Entity Type: Organization
Organization Name: Gladstone Family Dental Associates LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 3, 2019
Last Updated: Oct 3, 2019

Practice Location

Address: 2019 NE 72ND STREET
Address 2: 105
City: Gladstone
State: Missouri
ZIP Code: 64118
Phone: (816) 452-3420

Authorized Official

Name: GREGORY DALE, DDS
Title: OWNER
Phone: (816) 452-3420

Specialties & Taxonomy Codes

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

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