Organization
SCHARDT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SCHARDT (ORTHODONTIST)
(608) 328-8160
Entity
Organization
Contact information
Practice address
1502 11TH ST, MONROE, WI 53566-1747
(608) 328-8160
Mailing address
1502 11TH ST, MONROE, WI 53566-1747
(608) 328-8160
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6449
WI
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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