Organization
POLISHED - MELISSA A SMITH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA A SMITH DDS (OWNER/DENTIST)
(636) 667-9192
Entity
Organization
Contact information
Practice address
14560 MANCHESTER RD, STE 27, BALLWIN, MO 63011-3933
(636) 394-4275
(636) 394-1188
Mailing address
14560 MANCHESTER RD, STE 27, BALLWIN, MO 63011-3933
(636) 394-4275
(636) 394-1188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2004013254
MO
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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