| Healthy Smiles Dental Care, S.c. | |
|
285 Forest Grove Dr Suite 201 Pewaukee WI 53072-3782 | |
| (262) 695-1515 | |
| Not Available |
| Full Name | Healthy Smiles Dental Care, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 285 Forest Grove Dr, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Afshin Hamedi (PRESIDENT) |
| Authorized Official Contact | 2626951515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Dental Care, S.c. 285 Forest Grove Dr Suite 201 Pewaukee WI 53072-3782 Ph: (262) 695-1515 | Healthy Smiles Dental Care, S.c. 285 Forest Grove Dr Suite 201 Pewaukee WI 53072-3782 Ph: (262) 695-1515 |
| NPI Number | 1477673556 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477673556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4424 (Wisconsin) | Primary |
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