| Wilkin & Kunau Dentistry Partnership | |
|
1130 17th St Fulton IL 61252-2008 | |
| (815) 589-4007 | |
| (815) 589-4897 |
| Full Name | Wilkin & Kunau Dentistry Partnership |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1130 17th St, Fulton, Illinois |
| Authorized Official Name and Position | William Michael Wilkin (PARTNER) |
| Authorized Official Contact | 8155894007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilkin & Kunau Dentistry Partnership 1130 17th St Fulton IL 61252-2008 Ph: (815) 589-4007 | Wilkin & Kunau Dentistry Partnership 1130 17th St Fulton IL 61252-2008 Ph: (815) 589-4007 |
| NPI Number | 1588892681 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588892681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.017751 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | 019.024581 (Illinois) | Secondary |
Fulton Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 17th St, Fulton, IL 61252 Phone: 815-589-4007 Fax: 815-589-4897 |