Advanced Orthodontics Of Wisconsin | |
5605 Odana Rd Madison WI 53719-1207 | |
(608) 271-9293 | |
(608) 204-9216 |
Full Name | Advanced Orthodontics Of Wisconsin |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5605 Odana Rd, Madison, Wisconsin |
Authorized Official Name and Position | Martin D Gochnour (DR./OWNER) |
Authorized Official Contact | 6082719293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Orthodontics Of Wisconsin 5605 Odana Rd Madison WI 53719-1207 Ph: (608) 271-9293 | Advanced Orthodontics Of Wisconsin 5605 Odana Rd Madison WI 53719-1207 Ph: (608) 271-9293 |
NPI Number | 1215388616 |
---|---|
Provider Enumeration Date | 06/27/2016 |
Last Update Date | 06/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215388616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5066 (Texas) | Primary |
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