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1174676365
THOMAS JOSEPH WACHTEL
GENESEO, IL
NPI
1174676365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.015950)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Dr. THOMAS JOSEPH WACHTEL D.D.S.
608 E OGDEN AVE
GENESEO, IL 61254-1147
Phone number: 309-944-5191
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Mailing Address
Dr. THOMAS JOSEPH WACHTEL D.D.S.
608 E OGDEN AVE
GENESEO, IL 61254-1147
Phone number: 309-944-5191
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