Organization
GATEWAY LITTLE SMILES, LLC
Active
Other names
Gateway Little Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY HASTINGS DDS (OWNER)
(314) 496-3562
Entity
Organization
Contact information
Practice address
4758 MID RIVERS MALL DR, COTTLEVILLE, MO 63376-2883
(314) 496-3562
Mailing address
309 CEDAR ST, WASHINGTON, MO 63090-2324
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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