West Central Smiles Pa

NPI 1043463417 - Dentist - 1223X0400X

NPI Details
NPI 1043463417
Enumeration Date 10/29/2008
Last Updated 11/09/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JEREMY JEREMY
Position DR./CEO
Phone (320) 235-3102
Fax
Practice Location
615 N SIBLEY AVE
LITCHFIELD MN, 55355-1756, US
Phone (320) 235-3102
Fax
Business Location
1100 19TH AVE SW
SUITE 1
WILLMAR MN, 56201-5288, US
Phone
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State
License Number
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According to our database, West Central Smiles Pa NPI is 1043463417, taxonomy code is 1223X0400X West Central Smiles Pa physically located at 615 N Sibley Ave, Litchfield MN, 55355-1756. NPI Number 1033115704 has the healthcare provider type.

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1043463417 NPI number is provided on an as is basis without warranty of any kind. 1043463417 is maintained by the National Plan & Provider Enumeration System. The contents of West Central Smiles Pa are for informational purposes only.