Organization
AARON THOMAS WACHTEL, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON THOMAS WACHTEL DDS (OWNER)
(309) 944-5191
Entity
Organization
Contact information
Practice address
108 WEST 3RD STREET, PROPHETSTOWN, IL 61277
(815) 537-5410
(309) 944-8317
Mailing address
108 WEST 3RD STREET, PROPHETSTOWN, IL 61277
(815) 537-5410
(309) 944-8317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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