Organization
ORTHODONTIC EXPERTS OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA BZDAL (DIRECTOR OF SUPPORT SERVICES)
(773) 801-7171
Entity
Organization
Contact information
Practice address
2692 CRANSTON RD, BELOIT, WI 53511-6908
(855) 720-2470
Mailing address
1250 W NORTHWEST HWY, MOUNT PROSPECT, IL 60056-2274
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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