Smiles For Miles Family Dentistry, Llc | |
S22w22660 Broadway Suite 2 Waukesha WI 53186-8100 | |
(414) 526-0655 | |
Not Available |
Full Name | Smiles For Miles Family Dentistry, Llc |
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Speciality | Clinic/center - Dental |
Location | S22w22660 Broadway, Waukesha, Wisconsin |
Authorized Official Name and Position | Richard John Salm (DENTIST OWNER) |
Authorized Official Contact | 4145260655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smiles For Miles Family Dentistry, Llc S22w22660 Broadway Suite 2 Waukesha WI 53186-8100 Ph: (414) 526-0655 | Smiles For Miles Family Dentistry, Llc S22w22660 Broadway Suite 2 Waukesha WI 53186-8100 Ph: (414) 526-0655 |
NPI Number | 1316347826 |
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Provider Enumeration Date | 09/03/2014 |
Last Update Date | 09/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316347826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6060 (Wisconsin) | Primary |
News Archive
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