Organization
SMILES ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CRABTREE RDH (EXECUTIVE DIRECTOR)
(517) 740-2596
Entity
Organization
Contact information
Practice address
122 HIGHLAND DRIVE, JACKSON, MI 49201
(517) 704-2596
(517) 740-2596
Mailing address
7040 MCKAY, JACKSON, MI 49201
(517) 740-2596
(517) 740-2596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901007028
MI
Other
Enumeration date
12/05/2006
Last updated
05/22/2024
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