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1487389672
GATEWAY LITTLE SMILES OF BALLWIN, LLC
BALLWIN, MO
NPI
1487389672
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Entity Type
Organization
Authorized Contact
COREY HASTINGS
Managing Member
314-496-3562
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
GATEWAY LITTLE SMILES OF BALLWIN, LLC
956 KEHRS MILL RD
BALLWIN, MO 63011-2402
Phone number: 636-527-2779
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Mailing Address
GATEWAY LITTLE SMILES OF BALLWIN, LLC
956 KEHRS MILL RD
BALLWIN, MO 63011-2402
Phone number: 636-527-2779
Copy
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