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Organization
SMILE, IT'S HEALTHY L.L.C.
Active
Organization
SMILE, IT'S HEALTHY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MCDOUGALD (PRESIDENT)
(913) 254-4065
Entity
Organization
Contact information
Practice address
4400 SHAWNEE MISSION PARKWAY, SUITE 208, FAIRWAY, KS 66205
(913) 254-4065
Mailing address
4400 SHAWNEE MISSION PKWY STE 208, FAIRWAY, KS 66205-2518
(913) 254-4065
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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