Individual
MR. DAVID CHARLES NAGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 N LITTELFUSE LN, SUITE 101, WATSEKA, IL 60970
(815) 432-5421
(815) 432-5421
Mailing address
130 N LITTELFUSE LN, SUITE 101, WATSEKA, IL 60970
(815) 432-5421
(815) 432-4170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A14118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003095
—
IL
Enumeration date
11/20/2006
Last updated
07/08/2007
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