| NPI | 1225568983 |
|---|---|
| Doing Business As | DE PERE SMILES S.C. |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES PETERSON President/Owner/Dentist 920-336-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1001273-15) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |