Individual
DR. EARL ERNST WOELTJE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
712 N BLOOMINGTON ST, P.O. 516, STREATOR, IL 61364-2087
(815) 672-2195
Mailing address
712 N BLOOMINGTON ST, P.O. 516, STREATOR, IL 61364-2087
(815) 672-2195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019646
IL
Other
Enumeration date
05/21/2007
Last updated
07/25/2019
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