| 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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