Organization
QUAD CITY ORTHODONTIC GROUP, LLC
Active
Other names
Quad City Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE BRONWEN RICHARDS D.D.S., M.S. (MEMBER/DOCTOR)
(309) 786-7782
Entity
Organization
Contact information
Practice address
2850 24TH ST, ROCK ISLAND, IL 61201-5308
(309) 786-7782
(309) 786-5829
Mailing address
2850 24TH ST, ROCK ISLAND, IL 61201-5308
(309) 786-7782
(309) 786-5829
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
10/06/2006
Last updated
04/04/2008
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