Midwest Orthodontic Associates

NPI #1306988092 in Peoria, Illinois

Provider Information

NPI Number
1306988092
Entity Type
Organization
Organization Name
Midwest Orthodontic Associates
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Feb 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5006 N UNIVERSITY ST
City
Peoria
ZIP Code
61614-4715
Phone
(309) 691-9665

Authorized Official

Name
STEPHEN C ROEHM, D.D.S, M.S.
Title
PRESIDENT
Phone
(309) 691-9665

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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