Organization
NEIGHBORHOOD SMILES OF OCONOMOWOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI SOOY (OWNER)
(509) 953-5631
Entity
Organization
Contact information
Practice address
784 SUMMIT AVE, OCONOMOWOC, WI 53066-3838
(509) 953-5631
Mailing address
19408 W WILLIAMS LAKE RD, CHENEY, WA 99004-9742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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