| Orthodontic Group Associates | |
|
3003 41st St Moline IL 61265-7826 | |
| (309) 762-8838 | |
| (309) 736-7846 |
| Full Name | Orthodontic Group Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3003 41st St, Moline, Illinois |
| Authorized Official Name and Position | Randall Carl Welser (ORTHODONTIST) |
| Authorized Official Contact | 3097628838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Group Associates 3003 41st St Moline IL 61265-7826 Ph: (309) 762-8838 | Orthodontic Group Associates 3003 41st St Moline IL 61265-7826 Ph: (309) 762-8838 |
| NPI Number | 1639196488 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639196488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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