| Little Smiles Of Hazelwood, Llc | |
|
6309 Hazelwest Ct Hazelwood MO 63042-1739 | |
| (314) 731-1688 | |
| Not Available |
| Full Name | Little Smiles Of Hazelwood, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6309 Hazelwest Ct, Hazelwood, Missouri |
| Authorized Official Name and Position | Corey Hastings (OWNER/PROVIDER) |
| Authorized Official Contact | 3147311688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Smiles Of Hazelwood, Llc 6309 Hazelwest Ct Hazelwood MO 63042-1739 Ph: (314) 731-1688 | Little Smiles Of Hazelwood, Llc 6309 Hazelwest Ct Hazelwood MO 63042-1739 Ph: (314) 731-1688 |
| NPI Number | 1922765866 |
|---|---|
| Provider Enumeration Date | 11/28/2021 |
| Last Update Date | 11/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922765866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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