Organization
RASCH ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD WALTER RASCH DDS, MS (OWNER)
(262) 956-6000
Entity
Organization
Contact information
Practice address
N35W23770 CAPITOL DR STE B, PEWAUKEE, WI 53072-2639
(262) 956-6000
(262) 691-2572
Mailing address
N35W23770 CAPITOL DR STE B, PEWAUKEE, WI 53072-2639
(262) 956-6000
(262) 691-2572
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6251-15
WI
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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