Organization
ORTHODONTIC EXPERTS OF WISCONSIN LLC
Active
Parent organization
ORTHODONTIC EXPERTS OF WISCONSIN LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC EXPERTS OF WISCONSIN LLC
Authorized official
MONIKA BZDAL (VP)
(815) 340-1046
Entity
Organization
Contact information
Practice address
1710 EAGAN RD, MADISON, WI 53704-3702
(815) 340-1046
Mailing address
1700 E HIGGINS RD STE 320, DES PLAINES, IL 60018-3805
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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