Deerwood Orthodontics, LLC

NPI #1669120259 in Glendale, Wisconsin

Provider Information

NPI Number
1669120259
Entity Type
Organization
Organization Name
Deerwood Orthodontics, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DEERWOOD ORTHODONTICS, LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Mar 14, 2022
Last Updated
Mar 14, 2022

Practice Location

Address
500 W SILVER SPRING DR STE K230
ZIP Code
53217-5053
Phone
(414) 332-4900

Authorized Official

Name
CELIA HAYES
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-2100

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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