Individual
DR. DOUGLAS STEVEN WENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3915 MAINE ST, QUINCY, IL 62305-5843
(217) 224-4828
Mailing address
3915 MAINE ST, QUINCY, IL 62305-5843
(217) 224-4828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021904
IL
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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