| Ghrist Orthodontics, Ltd. | |
|
W65n640 Saint John Ave Cedarburg WI 53012-1924 | |
| (262) 377-2847 | |
| (262) 377-3806 |
| Full Name | Ghrist Orthodontics, Ltd. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | W65n640 Saint John Ave, Cedarburg, Wisconsin |
| Authorized Official Name and Position | Scott Flesner (VICE PRESIDENT) |
| Authorized Official Contact | 2623772847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghrist Orthodontics, Ltd. W65n640 Saint John Ave Cedarburg WI 53012-1924 Ph: (262) 377-2847 | Ghrist Orthodontics, Ltd. W65n640 Saint John Ave Cedarburg WI 53012-1924 Ph: (262) 377-2847 |
| NPI Number | 1174543649 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174543649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3728 (Wisconsin) | Primary |
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