| Harrington And Frazier Associated Orthodontists S.c. | |
|
700 E Walnut St Green Bay WI 54301-4052 | |
| (920) 432-0634 | |
| Not Available |
| Full Name | Harrington And Frazier Associated Orthodontists S.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 700 E Walnut St, Green Bay, Wisconsin |
| Authorized Official Name and Position | John Frazier (PRESIDENT) |
| Authorized Official Contact | 9204320634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrington And Frazier Associated Orthodontists S.c. 700 E Walnut St Green Bay WI 54301-4052 Ph: (920) 432-0634 | Harrington And Frazier Associated Orthodontists S.c. 700 E Walnut St Green Bay WI 54301-4052 Ph: (920) 432-0634 |
| NPI Number | 1194944991 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194944991 | NPI | - | NPPES |
| 33389500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2345-015 (Wisconsin) | Primary |
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