NPI 1477673556

Healthy Smiles Dental Care, S.C.

Organisation General Practice Dentistry Pewaukee, WI

Practice location

Address: 285 Forest Grove Dr Suite 201, Pewaukee, WI 53072-3782
Phone: (262) 695-1515

Authorised official

Name: Afshin Hamedi
Title: President
Phone: (262) 695-1515

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4424 (WI)

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Registry record

NPI: 1477673556
Entity type: Organization
NPI issued: 30 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.