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Organization
SMILE SOLUTIONS OF KANSAS LLC
Active
Organization
SMILE SOLUTIONS OF KANSAS LLC
Active
Other names
Smile Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA GORANTLA DDS (MANAGING CLINICAL DIRECTOR)
(423) 707-5766
Entity
Organization
Contact information
Practice address
611 N BROADWAY ST STE B, PITTSBURG, KS 66762-3928
(423) 707-5766
Mailing address
611 N BROADWAY ST STE B, PITTSBURG, KS 66762-3928
(423) 707-5766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
02/28/2025
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