Organization
SMILES FOR MILES FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN SALM JR. DDS (DENTIST OWNER)
(414) 526-0655
Entity
Organization
Contact information
Practice address
S22W22660 BROADWAY, SUITE 2, WAUKESHA, WI 53186-8100
(414) 526-0655
Mailing address
S22W22660 BROADWAY, SUITE 2, WAUKESHA, WI 53186-8100
(414) 526-0655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6060
WI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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