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Organization

DEERWOOD ORTHODONTICS, LLC

Active
Parent organization
DEERWOOD ORTHODONTICS, LLC
Other names
Deerwood Orthodontics Menomonee Falls
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEERWOOD ORTHODONTICS, LLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
N80W17707 CUSTER LN, MENOMONEE FALLS, WI 53051-3630
(262) 502-0605
(262) 415-1266
Mailing address
N80W17707 CUSTER LN, MENOMONEE FALLS, WI 53051-3630
(262) 502-0605
(262) 415-1266

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
03/06/2007
Last updated
03/14/2022
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