Creating Beautiful Smiles Sc
NPI #1255888103 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1255888103
- Entity Type
- Organization
- Organization Name
- Creating Beautiful Smiles Sc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 8, 2016
- Last Updated
- Sep 8, 2016
Practice Location
- Address
- 4425 TAYLOR AVE
- Address 2
- SUITE 3
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53405-4642
- Phone
- (262) 554-9055
Authorized Official
- Name
- DR. TIFFANY JEANNINE SMALKOSKI, D.D.S.
- Title
- DENTIST
- Phone
- (262) 554-9055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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