Individual
DR. DAVID WESLEY BACHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 W CLARK ST, CHAMPAIGN, IL 61820-4638
(217) 352-5031
Mailing address
305 W CLARK ST, CHAMPAIGN, IL 61820-4638
(217) 352-5031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-024525
IL
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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