Eric Roy Wostl, DDS

NPI #1104047638 in Wheaton, Illinois

Provider Information

NPI Number: 1104047638
Entity Type: Individual
Name: Eric Roy Wostl, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 209 N WASHINGTON ST
City: Wheaton
State: Illinois
ZIP Code: 60187-5320
Phone: (630) 668-1455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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