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1164589115
WALLACE STROW
PEORIA, IL
NPI
1164589115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019019873)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- WALLACE STROW dds
2807 W. TOWNLINE RD
PEORIA, IL 61615
Phone number: 309-689-1452
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Mailing Address
-- WALLACE STROW dds
2807 W. TOWNLINE RD
PEORIA, IL 61615
Phone number: 309-689-1452
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