Organization
METRO ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS A WHITESMAN DDS, MS (PRESIDENT)
(734) 709-1363
Entity
Organization
Contact information
Practice address
16247 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2157
(734) 709-1363
Mailing address
16247 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2157
(734) 709-1363
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019026746
IL
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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