Organization
CCS SMILES LLC
Active
Other names
Salthouse Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORBIN SALTHOUSE DDS (OWNER)
(314) 960-5740
Entity
Organization
Contact information
Practice address
11941 MANCHESTER RD, DES PERES, MO 63131-4502
(314) 501-8300
(314) 462-1844
Mailing address
11941 MANCHESTER RD, DES PERES, MO 63131-4502
(314) 501-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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