Bright Smiles Family Dentsitry, Llc

NPI 1053757096 - Dentist - 122300000X

NPI Details
NPI 1053757096
Enumeration Date 05/16/2013
Last Updated 05/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SARAH J SARAH
Position OWNER OPERATOR
Phone (414) 762-2300
Fax
Practice Location
801 MILWAUKEE AVE
SOUTH MILWAUKEE WI, 53172-2115, US
Phone (414) 762-2300
Fax
Business Location
801 MILWAUKEE AVE
SOUTH MILWAUKEE WI, 53172-2115, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 6887-15
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According to our database, Bright Smiles Family Dentsitry, Llc NPI is 1053757096, taxonomy code is 122300000X and license number is 6887-15, license state is located at Wisconsin. Bright Smiles Family Dentsitry, Llc physically located at 801 Milwaukee Ave, South Milwaukee WI, 53172-2115. NPI Number 1033115704 has the healthcare provider type.

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1053757096 NPI number is provided on an as is basis without warranty of any kind. 1053757096 is maintained by the National Plan & Provider Enumeration System. The contents of Bright Smiles Family Dentsitry, Llc are for informational purposes only.