Organization
ERIC WOSTL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC R WOSTL DDS (DENTIST)
(630) 668-1455
Entity
Organization
Contact information
Practice address
209 N WASHINGTON ST, WHEATON, IL 60187-5320
(630) 668-1455
(630) 668-4230
Mailing address
209 N WASHINGTON ST, WHEATON, IL 60187-5320
(630) 668-1455
(630) 668-4230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019019600
DELTA
IL
Enumeration date
05/16/2008
Last updated
05/16/2008
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