Northshore Smiles, LLC

NPI #1184359473 in Mequon, Wisconsin

Provider Information

NPI Number
1184359473
Entity Type
Organization
Organization Name
Northshore Smiles, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 20, 2022
Last Updated
Jul 20, 2022

Practice Location

Address
10303 N PORT WASHINGTON RD STE 103A
City
Mequon
ZIP Code
53092-5760
Phone
(262) 240-0405

Authorized Official

Name
AARON BUSHONG
Title
DENTIST, OWNER
Phone
(715) 573-3546

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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