Smile Doctors Of Wisconsin, S.c. | |
1616 N Randall Ave Janesville WI 53545-1118 | |
(608) 754-4998 | |
Not Available |
Full Name | Smile Doctors Of Wisconsin, S.c. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1616 N Randall Ave, Janesville, Wisconsin |
Authorized Official Name and Position | Gilbert D'andria (CFO) |
Authorized Official Contact | 2547273131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Doctors Of Wisconsin, S.c. 295 Se Inner Loop Georgetown TX 78626-2140 Ph: (254) 727-3131 | Smile Doctors Of Wisconsin, S.c. 1616 N Randall Ave Janesville WI 53545-1118 Ph: (608) 754-4998 |
NPI Number | 1669024667 |
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Provider Enumeration Date | 07/10/2019 |
Last Update Date | 07/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669024667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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