Rasch Orthodontics | |
N35w23770 Capitol Dr Ste B Pewaukee WI 53072-2639 | |
(262) 956-6000 | |
(262) 691-2572 |
Full Name | Rasch Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | N35w23770 Capitol Dr Ste B, Pewaukee, Wisconsin |
Authorized Official Name and Position | Todd Walter Rasch (OWNER) |
Authorized Official Contact | 2629566000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rasch Orthodontics N35w23770 Capitol Dr Ste B Pewaukee WI 53072-2639 Ph: (262) 956-6000 | Rasch Orthodontics N35w23770 Capitol Dr Ste B Pewaukee WI 53072-2639 Ph: (262) 956-6000 |
NPI Number | 1932420718 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 06/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932420718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6251-15 (Wisconsin) | Primary |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Capitol Drive, Suite A, Pewaukee, WI 53072 Phone: 262-691-4140 Fax: 262-691-3359 | |
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