| West Allis Smiles Dental Llc | |
|
5400 W Lincoln Ave Milwaukee WI 53219-1662 | |
| (414) 327-6162 | |
| Not Available |
| Full Name | West Allis Smiles Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5400 W Lincoln Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Aaron Bushong (OWNER) |
| Authorized Official Contact | 7155733546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Allis Smiles Dental Llc 5400 W Lincoln Ave Milwaukee WI 53219-1662 Ph: (414) 327-6162 | West Allis Smiles Dental Llc 5400 W Lincoln Ave Milwaukee WI 53219-1662 Ph: (414) 327-6162 |
| NPI Number | 1346915535 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346915535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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