Organization
ORTHODONTIC GROUP ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL CARL WELSER D.M.D. (ORTHODONTIST)
(309) 762-8838
Entity
Organization
Contact information
Practice address
3003 41ST ST, MOLINE, IL 61265-7826
(309) 762-8838
(309) 736-7846
Mailing address
3003 41ST ST, MOLINE, IL 61265-7826
(309) 762-8838
(309) 736-7846
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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