| Aaron Thomas Wachtel, Dds | |
|
608 E. Ogden Avenue Geneseo IL 61254 | |
| (309) 944-5191 | |
| (309) 944-8317 |
| Full Name | Aaron Thomas Wachtel, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 608 E. Ogden Avenue, Geneseo, Illinois |
| Authorized Official Name and Position | Aaron Thomas Wachtel (OWNER) |
| Authorized Official Contact | 3099445191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Thomas Wachtel, Dds 608 E. Ogden Avenue Geneseo IL 61254 Ph: (309) 944-5191 | Aaron Thomas Wachtel, Dds 608 E. Ogden Avenue Geneseo IL 61254 Ph: (309) 944-5191 |
| NPI Number | 1477070258 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477070258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Fehlman Dental Practice, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W 2nd St, Geneseo, IL 61254 Phone: 309-944-6401 Fax: 309-945-4311 |