Organization
GATEWAY LITTLE SMILES OF BALLWIN, LLC
Active
Other names
Gateway Little Smiles of Ballwin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY HASTINGS DDS (MANAGING MEMBER)
(314) 496-3562
Entity
Organization
Contact information
Practice address
956 KEHRS MILL RD, BALLWIN, MO 63011-2402
(636) 527-2779
Mailing address
956 KEHRS MILL RD, BALLWIN, MO 63011-2402
(636) 527-2779
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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