Organization
WD DENTAL IMPLANT
Active
Other names
You Smile Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SHIH O'BRIEN DDS (OWNER)
(414) 520-6806
Entity
Organization
Contact information
Practice address
21 S BRUNS AVE, PLYMOUTH, WI 53073-2562
(920) 892-2951
Mailing address
21 S BRUNS AVE, PLYMOUTH, WI 53073-2562
(920) 892-2951
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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