Individual
DR. DAVID ALLEN WURZBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 BARRON BLVD, GRAYSLAKE, IL 60030-1640
(847) 223-8100
(847) 223-8218
Mailing address
310 BARRON BLVD, GRAYSLAKE, IL 60030-1640
(847) 223-8100
(847) 223-8218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021530
IL
Other
Enumeration date
05/23/2005
Last updated
07/31/2008
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