| Ortho 360 Llc | |
|
10809 W Lincoln Ave Milwaukee WI 53227-1177 | |
| (877) 795-0360 | |
| Not Available |
| Full Name | Ortho 360 Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10809 W Lincoln Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Ivana Bueno (DIRECTOR) |
| Authorized Official Contact | 7737989382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortho 360 Llc 10809 W Lincoln Ave Milwaukee WI 53227-1177 Ph: () - | Ortho 360 Llc 10809 W Lincoln Ave Milwaukee WI 53227-1177 Ph: (877) 795-0360 |
| NPI Number | 1497466890 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497466890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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