Organization
DIAMOND PLUS ORTHODONTICS BY BUBON ORTHODONTICS
Active
Organization
DIAMOND PLUS ORTHODONTICS BY BUBON ORTHODONTICS
Active
Parent organization
BUBON & ASSOCIATES, ORTHODONTICS, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUBON & ASSOCIATES, ORTHODONTICS, SC
Authorized official
GRETCHEN WELLNER (DIRECTOR OF OPERATIONS)
(262) 522-7447
Entity
Organization
Contact information
Practice address
241 GOLF MILL CTR STE 905, NILES, IL 60714-1208
(847) 298-6030
Mailing address
9130 W LOOMIS RD STE 600, FRANKLIN, WI 53132-9091
(262) 522-7447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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