Individual
DR. ODIN WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1425 N MCLEAN BLVD STE 200, ELGIN, IL 60123
(847) 697-6868
(847) 697-8355
Mailing address
1425 N MCLEAN BLVD, STE 200, ELGIN, IL 60123-5702
(847) 697-6868
(847) 697-8355
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002844
IL
Other
Enumeration date
09/07/2011
Last updated
04/16/2019
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