| Smile Wisconsin Ltd | |
|
250 E Wisconsin Ave Suite 1800 Milwaukee WI 53202-4232 | |
| (888) 833-8441 | |
| (888) 330-4331 |
| Full Name | Smile Wisconsin Ltd |
|---|---|
| Speciality | Dentist |
| Location | 250 E Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Solomon K. Pesis (DENTAL DIRECTOR) |
| Authorized Official Contact | 8888338441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wisconsin Ltd 33533 W 12 Mile Rd Suite 150 Farmington Hills MI 48331-3354 Ph: (888) 833-8441 | Smile Wisconsin Ltd 250 E Wisconsin Ave Suite 1800 Milwaukee WI 53202-4232 Ph: (888) 833-8441 |
| NPI Number | 1689942195 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689942195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6817-15 (Wisconsin) | Primary |
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