My Smile- West Allis LLC

NPI #1871299818 in West Allis, Wisconsin

Provider Information

NPI Number
1871299818
Entity Type
Organization
Organization Name
My Smile- West Allis LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 1, 2023
Last Updated
Feb 1, 2023

Practice Location

Address
2572 S 76TH ST
ZIP Code
53219-2476
Phone
(414) 321-7700

Authorized Official

Name
DR. HIDAYATHULLA KHAN
Title
OWNER
Phone
(414) 321-7700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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