Organization
GHRIST ORTHODONTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FLESNER (VICE PRESIDENT)
(262) 377-2847
Entity
Organization
Contact information
Practice address
W65N640 SAINT JOHN AVE, CEDARBURG, WI 53012-1924
(262) 377-2847
(262) 377-3806
Mailing address
W65N640 SAINT JOHN AVE, CEDARBURG, WI 53012-1924
(262) 377-2847
(262) 377-3806
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3728
WI
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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