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Organization

SMILE CLINIC - MANITOWOC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD HEHLI (OWNER)
(715) 833-8755
Entity
Organization

Contact information

Practice address
1602 N 18TH ST, MANITOWOC, WI 54220-1858
(920) 682-9231
Mailing address
4607 ROYAL DR, EAU CLAIRE, WI 54701-2928

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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