Individual
ELIOT VILDAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5201 WASHINGTON AVE, SUITE A, MOUNT PLEASANT, WI 53406-4242
(888) 988-4066
(847) 496-4850
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001396
WI
Other
Enumeration date
07/21/2016
Last updated
10/12/2016
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