Organization
SMILE WISCONSIN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON K. PESIS DDS (DENTAL DIRECTOR)
(888) 833-8441
Entity
Organization
Contact information
Practice address
250 E WISCONSIN AVE, SUITE 1800, MILWAUKEE, WI 53202-4232
(888) 833-8441
(888) 330-4331
Mailing address
33533 W 12 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48331-3354
(888) 833-8441
(888) 330-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6817-15
WI
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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