Organization
DE PERE SMILES ACQUISITION COMPANY S.C.
Active
Other names
De Pere Smiles S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JAMES PETERSON DMD (PRESIDENT/OWNER/DENTIST)
(920) 336-6594
Entity
Organization
Contact information
Practice address
277 N 9TH ST, DE PERE, WI 54115-1548
(920) 336-6594
(920) 336-7132
Mailing address
277 N 9TH ST, DE PERE, WI 54115-1548
(920) 336-6594
(920) 336-7132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001273-15
WI
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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