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Organization
SMILES FOR EAU CLAIRE COUNTY LLC
Active
Organization
SMILES FOR EAU CLAIRE COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH J. PEDERSEN RDH (MEMBER)
(715) 836-0127
Entity
Organization
Contact information
Practice address
1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
(715) 836-0127
Mailing address
1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
(715) 836-0127
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4176-16
WI
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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