| Great River Orthodontic Specialists, Sc | |
|
2215 Vine St Ste B Hudson WI 54016-5862 | |
| (715) 808-8379 | |
| Not Available |
| Full Name | Great River Orthodontic Specialists, Sc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2215 Vine St Ste B, Hudson, Wisconsin |
| Authorized Official Name and Position | Lori Amidon (PATIENT ACCOUNTS MGR) |
| Authorized Official Contact | 7155987473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Orthodontic Specialists, Sc 3902 Oakwood Hills Pkwy Eau Claire WI 54701-7780 Ph: () - | Great River Orthodontic Specialists, Sc 2215 Vine St Ste B Hudson WI 54016-5862 Ph: (715) 808-8379 |
| NPI Number | 1891442174 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891442174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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