NPI | 1972863397 |
---|---|
Doing Business As | SMILES IN MOTION |
Entity Type | Organization |
Authorized Contact | JEANETTE MARIE GOODLET Office Manager 715-723-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: WI 5855-015) |
Enumeration Date | 2012-05-18 |
Last Update Date | 2014-12-02 |