Organization
SMILES ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CRABTREE RDH (PRESIDENT)
(517) 740-2596
Entity
Organization
Contact information
Practice address
7040 MCKAY RD, JACKSON, MI 49201-9261
(517) 740-2596
(517) 536-0957
Mailing address
7040 MCKAY RD, JACKSON, MI 49201-9261
(517) 740-2596
(517) 536-0957
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3902016934
MI
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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