Organization
NEIGHBORHOOD SMILES OF LACROSSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCMANUS (CEO)
(360) 770-3077
Entity
Organization
Contact information
Practice address
3143 STATE RD STE 201, LA CROSSE, WI 54601-6964
(608) 788-6939
Mailing address
408 5TH ST, ANACORTES, WA 98221-1615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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