Organization
MILES OF SMILES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH DELANO WHEATON DDS (DIRECTOR)
(810) 308-5086
Entity
Organization
Contact information
Practice address
5621 LESLIE CT, FLINT, MI 48504
(810) 308-0586
Mailing address
5621 LESLIE CT., FLINT, MI 48504
(810) 308-0586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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