| Smile Wisconsin Ltd | |
|
925 S 15th St Manitowoc WI 54220-5051 | |
| (800) 409-2563 | |
| (623) 321-6268 |
| Full Name | Smile Wisconsin Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 925 S 15th St, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Elliot Paul Schlang (OWNER) |
| Authorized Official Contact | 8004092563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wisconsin Ltd 1904 W Parkside Ln 201 Phoenix AZ 85027-1228 Ph: (800) 409-2563 | Smile Wisconsin Ltd 925 S 15th St Manitowoc WI 54220-5051 Ph: (800) 409-2563 |
| NPI Number | 1336390327 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336390327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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