Individual provider · Type 1 NPI
Pollyana Marques de Moura
Orthodontics and Dentofacial Orthopedics Dentistry · Milwaukee, WI
Practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Fax (414) 266-5677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 35877 (TX) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 85139-875 (WI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1740601061
Pollyana Marques de Moura's National Provider Identifier is 1740601061, issued on Jan 6, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 3, 2025.