Individual
BRENT DOUGLAS WOHLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5 SUNSET HILLS PROFESSIONAL CTR, EDWARDSVILLE, IL 62025-3760
(618) 692-4545
(618) 655-0154
Mailing address
5 SUNSET HILLS PROFESSIONAL CTR, EDWARDSVILLE, IL 62025-3760
(618) 692-4545
(618) 655-0154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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