Organization
SMILE DOCTORS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DANIELEWICZ DDS (OWNER)
(262) 657-7942
Entity
Organization
Contact information
Practice address
7003 39TH AVE, KENOSHA, WI 53142
(262) 657-7942
Mailing address
7003 39TH AVE, KENOSHA, WI 53142
(262) 657-7942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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