| NPI | 1649355835 |
|---|---|
| Former Legal Business Name | ELMBROOK ORTHODONTICS AND PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHARLES F BOHL Orthodontist 262-784-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |