Missouri Smiles LLC
NPI #1508549130 in Columbia, Missouri
Provider Information
- NPI Number
- 1508549130
- Entity Type
- Organization
- Organization Name
- Missouri Smiles LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 10, 2023
- Last Updated
- Aug 10, 2023
Practice Location
Authorized Official
- Name
- DR. KYLE LISENBY, DMD
- Title
- DENTIST OWNER
- Phone
- (573) 424-2067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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