Kittleson Orthodontics, S.c.

NPI #1073828604 in Mequon, Wisconsin

Provider Information

NPI Number
1073828604
Entity Type
Organization
Organization Name
Kittleson Orthodontics, S.c.
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Aug 6, 2010
Last Updated
Aug 6, 2010

Practice Location

Address
10521 N PORT WASHINGTON RD
City
Mequon
ZIP Code
53092-5584
Phone
(262) 241-3141

Authorized Official

Name
DR. JOHN CLAYTON KITTLESON, D.D.S.
Title
VICE-PRESIDENT
Phone
(262) 241-3141

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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