Orthodontic Group Associates

NPI #1639196488 in Moline, Illinois

Provider Information

NPI Number: 1639196488
Entity Type: Organization
Organization Name: Orthodontic Group Associates
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3003 41ST ST
City: Moline
State: Illinois
ZIP Code: 61265-7826
Phone: (309) 762-8838

Authorized Official

Name: DR. RANDALL CARL WELSER, D.M.D.
Title: ORTHODONTIST
Phone: (309) 762-8838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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