Organization
THE ORTHODONTIC CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMAR V IYER DDS (PRESIDENT ORTHODONTIST)
(414) 771-5100
Entity
Organization
Contact information
Practice address
1421 S 108 STREET, WEST ALLIS, WI 53214-4012
(414) 771-5100
(414) 771-2513
Mailing address
1421 S 108 STREET, WEST ALLIS, WI 53214-4012
(414) 771-5100
(414) 771-2513
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33448200
—
WI
Enumeration date
10/24/2006
Last updated
08/22/2020
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