Sweet Smiles Milwaukee LLC
Dentist, General Practice in Milwaukee, WI. Organization (NPI-2).
NPI number1851747653
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1851747653
- Entity type
- Organization (NPI-2)
- Legal business name
- Sweet Smiles Milwaukee LLC
- Organization subpart
- No
- Enumeration date
- May 11, 2016
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3113 S 13th StMilwaukee, WI 53215-4609
Phone 414-808-2003
Mailing address
3113 S 13th StMilwaukee, WI 53215-4609
Authorized official
Radha Krishna Kurapati
President
4148082003
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