Admire Your Smile LLC
NPI #1508624339 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1508624339
- Entity Type
- Organization
- Organization Name
- Admire Your Smile LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 7, 2024
- Last Updated
- Mar 7, 2024
Practice Location
- Address
- 1600 B SOUTHWEST BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 635-4852
Authorized Official
- Name
- COREY MACK, DDS
- Title
- OWNER/DENTIST
- Phone
- (620) 240-0565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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