Orthodontic Experts of Wisconsin, LLC
NPI #1942949573 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1942949573
- Entity Type
- Organization
- Organization Name
- Orthodontic Experts of Wisconsin, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORTHODONTIC EXPERTS OF WISCONSIN, LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jun 1, 2022
- Last Updated
- Jun 1, 2022
Practice Location
- Address
- 5778 S 108TH ST
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-1947
- Phone
- (414) 600-0120
Authorized Official
- Name
- MONIKA BZDAL
- Title
- VP OF SUPPORT SERVICES
- Phone
- (815) 340-1046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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