Organization
WIN WIN BUSINESS SOLUTIONS LLC
Active
Other names
VivaSmiles Advanced Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO R GOMES (MEMBER)
(314) 956-0450
Entity
Organization
Contact information
Practice address
141 N MERAMEC AVE, SUITE 217, SAINT LOUIS, MO 63105-3750
(314) 727-3300
(314) 725-8700
Mailing address
141 N MERAMEC AVE, SUITE 217, SAINT LOUIS, MO 63105-3750
(314) 727-3300
(314) 725-8700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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