Organization
CHILDREN'S SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE P BARGER (EXECUTIVE DIRECTOR)
(417) 582-5439
Entity
Organization
Contact information
Practice address
3 E CHURCH ST, AURORA, MO 65605-2201
(417) 582-5439
(417) 485-5455
Mailing address
PO BOX 255, AURORA, MO 65605-0255
(417) 582-5439
(417) 485-5455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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