| Metro Orthodontics, Pc | |
|
16247 Wausau Ave South Holland IL 60473-2157 | |
| (734) 709-1363 | |
| Not Available |
| Full Name | Metro Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16247 Wausau Ave, South Holland, Illinois |
| Authorized Official Name and Position | Louis A Whitesman (PRESIDENT) |
| Authorized Official Contact | 7347091363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Orthodontics, Pc 16247 Wausau Ave South Holland IL 60473-2157 Ph: (734) 709-1363 | Metro Orthodontics, Pc 16247 Wausau Ave South Holland IL 60473-2157 Ph: (734) 709-1363 |
| NPI Number | 1093146342 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093146342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019026746 (Illinois) | Primary |
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