| NPI | 1316335763 |
|---|---|
| Doing Business As | WISCONSIN SMILES |
| Entity Type | Organization |
| Authorized Contact | ROBERTO EDGARDO MONTEAGUDO Owner 414-383-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 4186) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |