Neighborhood Smiles of West Salem, LLC
NPI #1659863199 in West Salem, Wisconsin
Provider Information
- NPI Number
- 1659863199
- Entity Type
- Organization
- Organization Name
- Neighborhood Smiles of West Salem, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 31, 2018
- Last Updated
- May 31, 2018
Practice Location
- Address
- 1403 WATERLOO AVE
- City
- West Salem
- State
- Wisconsin
- ZIP Code
- 54669-9270
- Phone
- (608) 519-4385
Authorized Official
- Name
- JACKIE LUCHT
- Title
- OPERATION MANAGER
- Phone
- (715) 842-3933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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