| Smiles On Main, Llc | |
|
212 Main St Mosinee WI 54455-1442 | |
| (715) 693-2503 | |
| Not Available |
| Full Name | Smiles On Main, Llc |
|---|---|
| Speciality | Dentist |
| Location | 212 Main St, Mosinee, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Main, Llc 212 Main St Mosinee WI 54455-1442 Ph: (715) 693-2503 | Smiles On Main, Llc 212 Main St Mosinee WI 54455-1442 Ph: (715) 693-2503 |
| NPI Number | 1982117842 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982117842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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