Organization
LITTLE URBAN SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALISA K GLOVER R.D.H. (PRESIDENT)
(314) 367-1434
Entity
Organization
Contact information
Practice address
1301 N KINGSHIGHWAY BLVD, STE 2, SAINT LOUIS, MO 63113-1408
(314) 367-1434
Mailing address
1301 N KINGSHIGHWAY BLVD, STE 2, SAINT LOUIS, MO 63113-1408
(314) 367-1434
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003732
MO
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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