Ghrist Orthodontics, Ltd. | |
W65n640 Saint John Ave Cedarburg WI 53012-1924 | |
(262) 377-2847 | |
(262) 377-3806 |
Full Name | Ghrist Orthodontics, Ltd. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | W65n640 Saint John Ave, Cedarburg, Wisconsin |
Authorized Official Name and Position | Scott Flesner (VICE PRESIDENT) |
Authorized Official Contact | 2623772847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ghrist Orthodontics, Ltd. W65n640 Saint John Ave Cedarburg WI 53012-1924 Ph: (262) 377-2847 | Ghrist Orthodontics, Ltd. W65n640 Saint John Ave Cedarburg WI 53012-1924 Ph: (262) 377-2847 |
NPI Number | 1174543649 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174543649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3728 (Wisconsin) | Primary |
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