| Bubon & Associates, Orthodontics, Sc | |
|
1201 Oak St Suite G West Bend WI 53095-3800 | |
| (262) 522-7447 | |
| (262) 522-7448 |
| Full Name | Bubon & Associates, Orthodontics, Sc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1201 Oak St, West Bend, Wisconsin |
| Authorized Official Name and Position | Michael S Bubon (OWNER) |
| Authorized Official Contact | 2625227447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bubon & Associates, Orthodontics, Sc N4w21680 Bluemound Rd Waukesha WI 53186-2943 Ph: (262) 522-7447 | Bubon & Associates, Orthodontics, Sc 1201 Oak St Suite G West Bend WI 53095-3800 Ph: (262) 522-7447 |
| NPI Number | 1861870420 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861870420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4015-15 (Wisconsin) | Primary |
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