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1487215422
MATTHEW THOMAS SMILANICH
GREEN BAY, WI
NPI
1487215422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 1002132-15)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
MATTHEW THOMAS SMILANICH
2460 FINGER RD
GREEN BAY, WI 54302-4210
Phone number: 920-469-8484
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Mailing Address
MATTHEW THOMAS SMILANICH
2460 FINGER RD
GREEN BAY, WI 54302-4210
Phone number: 920-469-8484
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