Greatsmiles, Inc.

NPI #1558516120 in Troy, Missouri

Provider Information

NPI Number
1558516120
Entity Type
Organization
Organization Name
Greatsmiles, Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 24, 2008
Last Updated
Nov 24, 2008

Practice Location

Address
411 E CHERRY ST
City
Troy
ZIP Code
63379-1407
Phone
(636) 528-6820

Authorized Official

Name
MRS. SALLY ANN BOURIL
Title
RECEPTIONIST
Phone
(636) 528-6820

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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