Smiles On Wheels

NPI #1821494642 in Jackson, Michigan

Provider Information

NPI Number: 1821494642
Entity Type: Organization
Organization Name: Smiles On Wheels
Primary Specialty: Dental Hygienist
Enumeration Date: Nov 5, 2014
Last Updated: Nov 5, 2014

Practice Location

Address: 7040 MCKAY RD
City: Jackson
State: Michigan
ZIP Code: 49201-9261
Phone: (517) 740-2596

Authorized Official

Name: KIM CRABTREE, RDH
Title: PRESIDENT
Phone: (517) 740-2596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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