Organization
SMILE WISCONSIN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT PAUL SCHLANG DDS (OWNER)
(800) 409-2563
Entity
Organization
Contact information
Practice address
925 S 15TH ST, MANITOWOC, WI 54220-5051
(800) 409-2563
(623) 321-6268
Mailing address
1904 W PARKSIDE LN, 201, PHOENIX, AZ 85027-1228
(800) 409-2563
(623) 321-6268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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