Organization
CREATING BEAUTIFUL SMILES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY JEANNINE SMALKOSKI D.D.S. (DENTIST)
(262) 554-9055
Entity
Organization
Contact information
Practice address
4425 TAYLOR AVE, SUITE 3, MOUNT PLEASANT, WI 53405-4642
(262) 554-9055
(262) 554-9053
Mailing address
4425 TAYLOR AVE, SUITE 3, MOUNT PLEASANT, WI 53405-4642
(262) 554-9055
(262) 554-9053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
268160
WI
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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