Individual
DR. KENDALL MARIE WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
374 E GRAND AVE, STUDENT HEALTH CENTER SIUC, CARBONDALE, IL 62901
(618) 536-2421
(618) 453-3477
Mailing address
520 CANARY LANE, CARTERVILLE, IL 62918
(618) 985-6997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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