Organization
NEIGHBORHOOD SMILES OF WEST SALEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCMANUS (OWNER)
(360) 588-4353
Entity
Organization
Contact information
Practice address
1401 WATERLOO AVE., WEST SALEM, WI 54669-9270
(608) 768-0909
Mailing address
1401 WATERLOO AVE., WEST SALEM, WI 54669-9270
(608) 786-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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