Organization
NEIGHBORHOOD SMILES OF ONALASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCMANUS (CEO)
(360) 770-3077
Entity
Organization
Contact information
Practice address
1831 E MAIN ST, ONALASKA, WI 54650-8757
(360) 770-3077
Mailing address
408 5TH ST, ANACORTES, WA 98221-1615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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