Organization
ORTHODONTIC EXPERTS OF WISCONSIN, LLC
Active
Parent organization
ORTHODONTIC EXPERTS OF WISCONSIN, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC EXPERTS OF WISCONSIN, LLC
Authorized official
MONIKA BZDAL (VP OF SUPPORT SERVICES)
(815) 340-1046
Entity
Organization
Contact information
Practice address
5778 S 108TH ST, HALES CORNERS, WI 53130-1947
(414) 600-0120
Mailing address
1250 W NORTHWEST HWY, MOUNT PROSPECT, IL 60056-2274
(847) 749-4340
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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