| Family Dentistry Of Woodstock | |
|
142 Washington St Woodstock IL 60098-3355 | |
| (815) 338-0690 | |
| (815) 338-4719 |
| Full Name | Family Dentistry Of Woodstock |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 142 Washington St, Woodstock, Illinois |
| Authorized Official Name and Position | Robert Eugene Haraden (PRESIDENT) |
| Authorized Official Contact | 8153380690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Woodstock 142 Washington St Woodstock IL 60098-3355 Ph: (815) 338-0690 | Family Dentistry Of Woodstock 142 Washington St Woodstock IL 60098-3355 Ph: (815) 338-0690 |
| NPI Number | 1114175940 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114175940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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