| Aaron Thomas Wachtel, Dds | |
|
108 West 3rd Street Prophetstown IL 61277 | |
| (815) 537-5410 | |
| (309) 944-8317 |
| Full Name | Aaron Thomas Wachtel, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 West 3rd Street, Prophetstown, 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 108 West 3rd Street Prophetstown IL 61277 Ph: (815) 537-5410 | Aaron Thomas Wachtel, Dds 108 West 3rd Street Prophetstown IL 61277 Ph: (815) 537-5410 |
| NPI Number | 1548787328 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548787328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |