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Organization
HEALTHY SMILES MOBILE, LLC
Active
Organization
HEALTHY SMILES MOBILE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL A LUSK (DIRECTOR OF OPERATIONS)
(813) 221-4038
Entity
Organization
Contact information
Practice address
16409 E 38TH ST CT S, INDEPENDENCE, MO 64055
(816) 427-1164
(816) 535-2184
Mailing address
16409 E 38TH ST CT S, INDEPENDENCE, MO 64055
(816) 463-2263
(816) 463-2264
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
06/12/2011
Last updated
10/17/2023
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