| Aaron Thomas Wachtel | |
|
1172 Monroe Street Galesburg IL 61401 | |
| (309) 343-9229 | |
| Not Available |
| Full Name | Aaron Thomas Wachtel |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1172 Monroe Street, Galesburg, Illinois |
| Authorized Official Name and Position | Aaron Thomas Wachtel (OWNER) |
| Authorized Official Contact | 3093439229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Thomas Wachtel 1172 Monroe Street Galesburg IL 61401 Ph: (309) 343-9229 | Aaron Thomas Wachtel 1172 Monroe Street Galesburg IL 61401 Ph: (309) 343-9229 |
| NPI Number | 1295245496 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295245496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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