| NPI | 1740860063 |
|---|---|
| Doing Business As | GATEWAY LITTLE SMILES |
| Entity Type | Organization |
| Authorized Contact | COREY HASTINGS Owner 314-496-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2021-04-11 |