| NPI | 1386761583 |
|---|---|
| Doing Business As | SMILES ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | PERRY G. ZEEB President/Dentist 414-272-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3676) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-09-25 |