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Organization

SMILES IN MOTION, S.C.

Active
Other names
Smiles in Motion
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JEANETTE MARIE GOODLET (OFFICE MANAGER)
(715) 723-2000
Entity
Organization

Contact information

Practice address
583 LAKELAND DR, CHIPPEWA FALLS, WI 54729-1689
(715) 723-2000
(715) 723-3712
Mailing address
583 LAKELAND DR, CHIPPEWA FALLS, WI 54729-1689

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5855-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33796700
WI
Enumeration date
05/18/2012
Last updated
12/02/2014
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