Organization
LITTLE SMILES OF HAZELWOOD, LLC
Active
Other names
Little Smiles of Hazelwood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY HASTINGS DDS (OWNER/PROVIDER)
(314) 731-1688
Entity
Organization
Contact information
Practice address
6309 HAZELWEST CT, HAZELWOOD, MO 63042-1739
(314) 731-1688
Mailing address
6309 HAZELWEST CT, HAZELWOOD, MO 63042-1739
(314) 731-1688
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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