Organization
SWEET SMILES MT. PLEASANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RADHA KRISHNA KURAPATI (PRESIDENT)
(262) 672-2393
Entity
Organization
Contact information
Practice address
1515 S GREEN BAY RD, MT PLEASANT, WI 53406-4409
(262) 672-2393
Mailing address
3113 S 13TH ST, MILWAUKEE, WI 53215-4609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
10/01/2020
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