Northshore Smiles, Llc | |
10303 N Port Washington Rd Ste 103a Mequon WI 53092-5760 | |
(262) 240-0405 | |
Not Available |
Full Name | Northshore Smiles, Llc |
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Speciality | Dentist - General Practice |
Location | 10303 N Port Washington Rd Ste 103a, Mequon, Wisconsin |
Authorized Official Name and Position | Aaron Bushong (DENTIST, OWNER) |
Authorized Official Contact | 7155733546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northshore Smiles, Llc 10303 N Port Washington Rd Ste 103a Mequon WI 53092-5760 Ph: () - | Northshore Smiles, Llc 10303 N Port Washington Rd Ste 103a Mequon WI 53092-5760 Ph: (262) 240-0405 |
NPI Number | 1184359473 |
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Provider Enumeration Date | 07/20/2022 |
Last Update Date | 07/20/2022 |
Identifier | Type | State | Issuer |
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1184359473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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