Organization
SMILES FOR EAU CLAIRE COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH J. PEDERSEN RDH (MEMBER)
(715) 836-0127
Entity
Organization
Contact information
Practice address
1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
(715) 836-0127
Mailing address
1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
(715) 836-0127
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4176-16
WI
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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