Growing Smiles, Llc | |
1425 Wakarusa Dr Suite D Lawrence KS 66049-3832 | |
(785) 856-5600 | |
(785) 856-5601 |
Full Name | Growing Smiles, Llc |
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Speciality | Clinic/center - Dental |
Location | 1425 Wakarusa Dr, Lawrence, Kansas |
Authorized Official Name and Position | Kelli Henderson (OWNER/MANAGER) |
Authorized Official Contact | 7858565600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Growing Smiles, Llc 1425 Wakarusa Dr Suite D Lawrence KS 66049-3832 Ph: (785) 856-5600 | Growing Smiles, Llc 1425 Wakarusa Dr Suite D Lawrence KS 66049-3832 Ph: (785) 856-5600 |
NPI Number | 1518152883 |
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Provider Enumeration Date | 09/10/2007 |
Last Update Date | 10/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518152883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 60453 (Kansas) | Primary |
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