Organization
JJS SMILES, S.C.
Active
Other names
TT Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA LEE DDS,MS (PRESIDENT)
(414) 269-8108
Entity
Organization
Contact information
Practice address
2323 S 109TH ST STE 275, WEST ALLIS, WI 53227-1912
(414) 269-8108
(414) 269-8109
Mailing address
2323 S 109TH ST STE 275, WEST ALLIS, WI 53227-1912
(414) 269-8108
(414) 269-8109
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/19/2024
Last updated
03/16/2025
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