| Smiles On Calumet | |
|
3813 E Calumet St Appleton WI 54915-4158 | |
| (920) 931-4505 | |
| Not Available |
| Full Name | Smiles On Calumet |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3813 E Calumet St, Appleton, Wisconsin |
| Authorized Official Name and Position | Kim Wilson (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Calumet 3813 E Calumet St Appleton WI 54915-4158 Ph: (920) 931-4505 | Smiles On Calumet 3813 E Calumet St Appleton WI 54915-4158 Ph: (920) 931-4505 |
| NPI Number | 1922442300 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922442300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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