Organization
SMITH DENTAL WEST
Active
Other names
BarkRiver Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL P. SMITH DDS (DENTIST/OWNER)
(262) 367-4255
Entity
Organization
Contact information
Practice address
625 WALNUT RIDGE DR - SUITE #102, HARTLAND, WI 53029-8894
(262) 367-4255
(262) 367-4714
Mailing address
625 WALNUT RIDGE DR - SUITE #102, HARTLAND, WI 53029-8894
(262) 367-4255
(262) 367-4714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
04/08/2024
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