Organization
SCHUCKIT & OLEJNICZAK ORTHODONTICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA OLEJNICZAK D.D.S., M.S. (PRESIDENT/OWNER)
(262) 377-8950
Entity
Organization
Contact information
Practice address
101 FALLS RD, SUITE 504, GRAFTON, WI 53024-2612
(262) 377-8950
Mailing address
101 FALLS RD, SUITE 504, GRAFTON, WI 53024-2612
(262) 377-8950
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7185
WI
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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