Elite Smiles Little Chute, LLC
NPI #1881219343 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1881219343
- Entity Type
- Organization
- Organization Name
- Elite Smiles Little Chute, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 10, 2020
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 119 E MAIN ST
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140-1850
- Phone
- (920) 735-9366
Authorized Official
- Name
- MELISSA KATZENMAIER
- Title
- PRACTICE MANAGER
- Phone
- (920) 733-4787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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