Organization
NEIGHBORHOOD SMILES OF LIBEL ST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCMANUS (OWNER)
(360) 588-4353
Entity
Organization
Contact information
Practice address
2805 LIBAL ST # B, GREEN BAY, WI 54301-2877
(360) 588-4353
Mailing address
2012 '0' AVE, ANACORTES, WA 98221
(360) 588-4353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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