Search › Wisconsin › 124Q00000X
Lisa Smith, RDH
NPI 1366226631 · on the registry since 2023
Practice
- Address
- 1320 S Green Bay Rd
Mt Pleasant, WI 53406 - Phone
- (262) 223-0280
- Organisation at this address
- Idental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin