Individual
DR. DOREEN ANNE WASCOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
444 N PROSPECT, MUNDELEIN, IL 60060
(847) 566-9330
(847) 566-9617
Mailing address
260 W CAMARGO CT, VERNON HILLS, IL 60061
(847) 573-8091
(847) 573-8192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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