DR. Earl Ernst Woeltje JR., DDS

NPI #1235347279 in Streator, Illinois

Provider Information

NPI Number: 1235347279
Entity Type: Individual
Name: DR. Earl Ernst Woeltje JR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 21, 2007
Last Updated: Jul 25, 2019

Practice Location

Address: 712 N BLOOMINGTON ST
Address 2: P.O. 516
City: Streator
State: Illinois
ZIP Code: 61364-2087
Phone: (815) 672-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Earl E Woeltje Jr Part of -	Dentist	Streator	AI Deep Dive
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