Individual
DR. GARY EDMUND ECKBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 E MAIN ST, WYANET, IL 61379-4504
(815) 699-2335
(815) 699-7039
Mailing address
PO BOX 337, WYANET, IL 61379-0337
(815) 699-2335
(815) 699-7039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19012910
IL
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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