Douglas Steven Wentura DDS

NPI 1679729636 - Dentist - 1223G0001X

NPI Details
NPI 1679729636
Gender Male
Enumeration Date 08/11/2008
Last Updated 08/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3915 MAINE ST
QUINCY IL, 62305-5843, US
Phone (217) 224-4828
Fax
Business Location
3915 MAINE ST
QUINCY IL, 62305-5843, US
Phone (217) 224-4828
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019021904
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According to our database, Dr. Douglas Steven Wentura DDS NPI is 1679729636, taxonomy code is 1223G0001X and license number is 019021904, license state is located at Illinois. Douglas Steven Wentura DDS physically located at 3915 Maine St, Quincy IL, 62305-5843. NPI Number Douglas Steven Wentura DDS has the Individual type.

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1679729636 NPI number is provided on an as is basis without warranty of any kind. 1679729636 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Steven Wentura DDS are for informational purposes only.