Smiles On Main

NPI #1528015328 in Maquoketa, Iowa

Provider Information

NPI Number: 1528015328
Entity Type: Organization
Organization Name: Smiles On Main
Primary Specialty: Dentist
Enumeration Date: May 27, 2006
Last Updated: Jan 5, 2009

Practice Location

Address: 119 SOUTH MAIN
Address 2: STE 1
City: Maquoketa
State: Iowa
ZIP Code: 52060
Phone: (563) 652-4133

Authorized Official

Name: DR. SALVADOR D ATIENZA, DDS
Title: PRESIDENT
Phone: (563) 652-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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