Youngquist Orthodontics, Ltd

NPI 1346339595 - Dentist - 1223X0400X

NPI Details
NPI 1346339595
Enumeration Date 10/12/2006
Last Updated 09/08/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT RUSSELL ROBERT
Position PRESIDENT
Phone (262) 248-0101
Fax (262) 248-2941
Practice Location
255 HAVENWOOD DR
LAKE GENEVA WI, 53147-1917, US
Phone (262) 248-0101
Fax (262) 248-2941
Business Location
255 HAVENWOOD DR
LAKE GENEVA WI, 53147-1917, US
Phone (262) 248-0101
Fax (262) 248-2941
Toxanomy
Taxonomy Code 1223X0400X
License State Wisconsin
License Number 2191B
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According to our database, Youngquist Orthodontics, Ltd NPI is 1346339595, taxonomy code is 1223X0400X and license number is 2191B, license state is located at Wisconsin. Youngquist Orthodontics, Ltd physically located at 255 Havenwood Dr, Lake Geneva WI, 53147-1917. NPI Number 1033115704 has the healthcare provider type.

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1346339595 NPI number is provided on an as is basis without warranty of any kind. 1346339595 is maintained by the National Plan & Provider Enumeration System. The contents of Youngquist Orthodontics, Ltd are for informational purposes only.