| Neighborhood Smiles Of West Salem, Llc | |
|
1403 Waterloo Ave West Salem WI 54669-9270 | |
| (608) 519-4385 | |
| Not Available |
| Full Name | Neighborhood Smiles Of West Salem, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1403 Waterloo Ave, West Salem, Wisconsin |
| Authorized Official Name and Position | Jackie Lucht (OPERATION MANAGER) |
| Authorized Official Contact | 7158423933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Smiles Of West Salem, Llc 301 N 17th Ave Ste 200 Wausau WI 54401-4225 Ph: (608) 519-4385 | Neighborhood Smiles Of West Salem, Llc 1403 Waterloo Ave West Salem WI 54669-9270 Ph: (608) 519-4385 |
| NPI Number | 1659863199 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659863199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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