| Smile Clinic - Manitowoc Llc | |
|
1602 N 18th St Manitowoc WI 54220-1858 | |
| (920) 682-9231 | |
| Not Available |
| Full Name | Smile Clinic - Manitowoc Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1602 N 18th St, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Todd Hehli (OWNER) |
| Authorized Official Contact | 7158338755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Clinic - Manitowoc Llc 4607 Royal Dr Eau Claire WI 54701-2928 Ph: () - | Smile Clinic - Manitowoc Llc 1602 N 18th St Manitowoc WI 54220-1858 Ph: (920) 682-9231 |
| NPI Number | 1285124024 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285124024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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