| Live Life Smiling | |
|
3913 W Prospect Ave Ste 101 Appleton WI 54914-8797 | |
| (920) 202-3502 | |
| Not Available |
| Full Name | Live Life Smiling |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3913 W Prospect Ave Ste 101, Appleton, Wisconsin |
| Authorized Official Name and Position | Kate Mantay (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2626494900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Life Smiling 15285 Watertown Plank Rd Ste 200 Elm Grove WI 53122-2339 Ph: (262) 649-4900 | Live Life Smiling 3913 W Prospect Ave Ste 101 Appleton WI 54914-8797 Ph: (920) 202-3502 |
| NPI Number | 1831902394 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831902394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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