# GARDEN HEIGHTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023753241
- **Authorized official:** DR. JOHN OLOUGHLIN DMD (CO OWNER)
- **Authorized official phone:** (636) 443-5205

## Contact information

- **Practice address:** 1608 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
- **Practice address phone:** (314) 645-1225
- **Mailing address:** 1710 GRATZ BROWN ST, MOBERLY, MO 65270-1913
- **Mailing address phone:** (636) 443-5205
- **Mailing address fax:** (573) 615-0793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2022
- **Last updated:** 05/02/2022