Organization
SMART DENTAL
Active
Other names
Smart Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD HAMBLIN DDS (DDS)
(816) 535-5155
Entity
Organization
Contact information
Practice address
425 W PINE ST, RAYMORE, MO 64083-9103
(816) 535-5155
Mailing address
425 W PINE ST, RAYMORE, MO 64083-9103
(816) 535-5155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
011945
MO
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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