Individual
JOSEPH ALBERT WANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
233 W ST CHARLES RD, LOMBARD, IL 60148-2232
(630) 916-4511
(630) 916-8557
Mailing address
233 W ST CHARLES RD, LOMBARD, IL 60148-2232
(630) 916-4511
(630) 916-8557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1915258
IL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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