Organization
GROWING SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI HENDERSON D.D.S. (OWNER/MANAGER)
(785) 856-5600
Entity
Organization
Contact information
Practice address
1425 WAKARUSA DR, SUITE D, LAWRENCE, KS 66049-3832
(785) 856-5600
(785) 856-5601
Mailing address
1425 WAKARUSA DR, SUITE D, LAWRENCE, KS 66049-3832
(785) 856-5600
(785) 856-5601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60453
KS
Other
Enumeration date
09/10/2007
Last updated
10/04/2007
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