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Organization

RICHARD A EWALD AND WILLIAM L WROBEL DDS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM WROBEL D.D.S. (VICE PRESIDENT)
(815) 434-6447
Entity
Organization

Contact information

Practice address
1704 POLARIS CIR, OTTAWA, IL 61350-1773
(815) 434-6447
Mailing address
1704 POLARIS CIR, OTTAWA, IL 61350-1773
(815) 434-6447

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
IL

Other

Enumeration date
11/19/2006
Last updated
08/22/2020
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