| Loren G Wilson, DDS | |
|
1030 4th St, Eldorado, IL 62930-1702 | |
| (618) 273-9361 | |
| (618) 273-7101 |
| Full Name | Loren G Wilson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1030 4th St, Eldorado, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407996044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Loren G Wilson, DDS 670 Bixler Rd, Eldorado, IL 62930-3786 Ph: (618) 273-9684 | Loren G Wilson, DDS 1030 4th St, Eldorado, IL 62930-1702 Ph: (618) 273-9361 |
Dr. Emily Dawn Rubenacker, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1030 4th St, Eldorado, IL 62930 Phone: 618-273-9361 Fax: 618-273-7101 | |
Dr. Vanessa Ann Pastrovich, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 4th St, Eldorado, IL 62930 Phone: 618-273-9361 Fax: 618-273-7101 |