Great River Orthodontic Specialists, Sc

NPI #1891442174 in Hudson, Wisconsin

Provider Information

NPI Number
1891442174
Entity Type
Organization
Organization Name
Great River Orthodontic Specialists, Sc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Mar 7, 2022
Last Updated
Mar 7, 2022

Practice Location

Address
2215 VINE ST STE B
City
Hudson
ZIP Code
54016-5862
Phone
(715) 808-8379

Authorized Official

Name
LORI AMIDON
Title
PATIENT ACCOUNTS MGR
Phone
(715) 598-7473

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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