Aaron Thomas Wachtel, Dds | |
108 West 3rd Street Prophetstown IL 61277 | |
(815) 537-5410 | |
(309) 944-8317 |
Full Name | Aaron Thomas Wachtel, Dds |
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Speciality | Dentist - General Practice |
Location | 108 West 3rd Street, Prophetstown, Illinois |
Authorized Official Name and Position | Aaron Thomas Wachtel (OWNER) |
Authorized Official Contact | 3099445191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aaron Thomas Wachtel, Dds 108 West 3rd Street Prophetstown IL 61277 Ph: (815) 537-5410 | Aaron Thomas Wachtel, Dds 108 West 3rd Street Prophetstown IL 61277 Ph: (815) 537-5410 |
NPI Number | 1548787328 |
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Provider Enumeration Date | 08/23/2017 |
Last Update Date | 08/23/2017 |
Identifier | Type | State | Issuer |
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1548787328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |