Organization
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Active
Other names
Miles for Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. BABB (CEO)
(417) 326-6501
Entity
Organization
Contact information
Practice address
1500 N. OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 328-6334
(417) 328-7727
Mailing address
1500 N. OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 326-6334
(417) 328-7727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
10/04/2013
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