| Richard A Ewald And William L Wrobel Dds Ltd | |
|
1704 Polaris Cir Ottawa IL 61350-1773 | |
| (815) 434-6447 | |
| Not Available |
| Full Name | Richard A Ewald And William L Wrobel Dds Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1704 Polaris Cir, Ottawa, Illinois |
| Authorized Official Name and Position | William Wrobel (VICE PRESIDENT) |
| Authorized Official Contact | 8154346447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Ewald And William L Wrobel Dds Ltd 1704 Polaris Cir Ottawa IL 61350-1773 Ph: (815) 434-6447 | Richard A Ewald And William L Wrobel Dds Ltd 1704 Polaris Cir Ottawa IL 61350-1773 Ph: (815) 434-6447 |
| NPI Number | 1598839946 |
|---|---|
| Provider Enumeration Date | 11/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598839946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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