BRENT DOUGLAS WOHLFORD

EDWARDSVILLE, IL
NPI1245246818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019015401)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- BRENT DOUGLAS WOHLFORD D.M.D.
5 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL 62025-3760
Phone number: 618-692-4545
Mailing Address
-- BRENT DOUGLAS WOHLFORD D.M.D.
5 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL 62025-3760
Phone number: 618-692-4545
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