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Organization

SMILE DENTAL CENTRALIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE SUE POWELL (OFFICE MANAGER)
(660) 263-6642
Entity
Organization

Contact information

Practice address
110 W SNEED ST, CENTRALIA, MO 65240-1375
(573) 682-5616
Mailing address
PO BOX 306, MOBERLY, MO 65270-0306
(660) 263-6642

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/23/2017
Last updated
10/23/2017
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