| Smiles For Miles Family Dentistry, Llc | |
|
S22w22660 Broadway Suite 2 Waukesha WI 53186-8100 | |
| (414) 526-0655 | |
| Not Available |
| Full Name | Smiles For Miles Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | S22w22660 Broadway, Waukesha, Wisconsin |
| Authorized Official Name and Position | Richard John Salm (DENTIST OWNER) |
| Authorized Official Contact | 4145260655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles For Miles Family Dentistry, Llc S22w22660 Broadway Suite 2 Waukesha WI 53186-8100 Ph: (414) 526-0655 | Smiles For Miles Family Dentistry, Llc S22w22660 Broadway Suite 2 Waukesha WI 53186-8100 Ph: (414) 526-0655 |
| NPI Number | 1316347826 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316347826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6060 (Wisconsin) | Primary |
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