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1871299818
MY SMILE- WEST ALLIS LLC
WEST ALLIS, WI
NPI
1871299818
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Entity Type
Organization
Authorized Contact
HIDAYATHULLA KHAN
Owner
414-321-7700
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
MY SMILE- WEST ALLIS LLC
2572 S 76TH ST
WEST ALLIS, WI 53219-2476
Phone number: 414-321-7700
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Mailing Address
MY SMILE- WEST ALLIS LLC
2572 S 76TH ST
WEST ALLIS, WI 53219-2476
Phone number: 414-321-7700
Copy
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