# SMILES FOR EAU CLAIRE COUNTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962874511
- **Authorized official:** SARAH J. PEDERSEN RDH (MEMBER)
- **Authorized official phone:** (715) 836-0127

## Contact information

- **Practice address:** 1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
- **Practice address phone:** (715) 836-0127
- **Mailing address:** 1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
- **Mailing address phone:** (715) 836-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | 4176-16 | WI | Yes |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 10/22/2015