Neighborhood Smiles of Onalaska, LLC

NPI #1891082095 in Onalaska, Wisconsin

Provider Information

NPI Number: 1891082095
Entity Type: Organization
Organization Name: Neighborhood Smiles of Onalaska, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 7, 2011
Last Updated: Jul 7, 2011

Practice Location

Address: 1831 E MAIN ST
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8757
Phone: (360) 770-3077

Authorized Official

Name: VICKI MCMANUS
Title: CEO
Phone: (360) 770-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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