Organization
ORTHODONTIC ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GERARD BRADLEY (OWNER)
(920) 261-3560
Entity
Organization
Contact information
Practice address
1510 DOCTORS CT, WATERTOWN, WI 53094-4102
(920) 261-3560
(920) 261-3561
Mailing address
1510 DOCTORS CT, WATERTOWN, WI 53094-4102
(920) 261-3560
(920) 261-3561
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5275-015
WI
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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