| Sweet Smiles Grafton Llc | |
|
1300 Bridge St Grafton WI 53024-1948 | |
| (262) 377-0807 | |
| Not Available |
| Full Name | Sweet Smiles Grafton Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 Bridge St, Grafton, Wisconsin |
| Authorized Official Name and Position | Pavan Gorantla (MANAGER) |
| Authorized Official Contact | 2623770807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Smiles Grafton Llc 1300 Bridge St Grafton WI 53024-1948 Ph: (262) 377-0807 | Sweet Smiles Grafton Llc 1300 Bridge St Grafton WI 53024-1948 Ph: (262) 377-0807 |
| NPI Number | 1598187247 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598187247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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