| Bohl And Race Orthodontics | |
|
12720 W North Ave Brookfield WI 53005 | |
| (262) 784-6700 | |
| (262) 784-1011 |
| Full Name | Bohl And Race Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12720 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Charles F Bohl (ORTHODONTIST) |
| Authorized Official Contact | 2627846700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohl And Race Orthodontics 12720 W North Avenue Brookfield WI 53005 Ph: (262) 784-6700 | Bohl And Race Orthodontics 12720 W North Ave Brookfield WI 53005 Ph: (262) 784-6700 |
| NPI Number | 1649355835 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649355835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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