Individual
DR. WILLIAM K. VANDERWAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2103 E WASHINGTON ST, BLOOMINGTON, IL 61701-4310
(309) 662-3355
Mailing address
2103 E WASHINGTON ST, BLOOMINGTON, IL 61701-4310
(309) 662-3355
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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