Justin Allan Welke D.D.S

NPI 1679870067 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1679870067
Gender Male
Enumeration Date 02/21/2011
Last Updated 04/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1740 W TAYLOR ST
CHICAGO IL, 60612-7232, US
Phone (886) 600-2273
Fax
Business Location
721 UNIVERSITY PL
EVANSTON IL, 60201-3818, US
Phone (630) 886-1780
Fax
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number NA
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According to our database, Dr. Justin Allan Welke D.D.S NPI is 1679870067, taxonomy code is 390200000X and license number is NA, license state is located at Illinois. Justin Allan Welke D.D.S physically located at 1740 W Taylor St, Chicago IL, 60612-7232. NPI Number Justin Allan Welke D.D.S has the Individual type.

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1679870067 NPI number is provided on an as is basis without warranty of any kind. 1679870067 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Allan Welke D.D.S are for informational purposes only.