Organization
CU SMILE, LLC
Active
Other names
Cardinal Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA BLALOCK DDS (OWNER)
(636) 441-7440
Entity
Organization
Contact information
Practice address
1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
(636) 441-7440
Mailing address
1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
(636) 441-7440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011015404
MO
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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