Earl E Woeltje Jr

NPI #1437664976 in Streator, Illinois

Provider Information

NPI Number: 1437664976
Entity Type: Organization
Organization Name: Earl E Woeltje Jr
Subpart: Yes (part of a larger organization)
Parent Organization: -
Primary Specialty: Dentist
Enumeration Date: Dec 6, 2017
Last Updated: Nov 15, 2023

Practice Location

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

Authorized Official

Name: DR. EARL ERNST WOELTJE JR., DDS
Title: OWNER
Phone: (815) 672-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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Provider Name	Specialty	City
DR. Earl Ernst Woeltje JR., DDS	Dentist	Streator	AI Deep Dive
DR. James Jerome Beagle, DDS	Dentist	Streator	AI Deep Dive
DR. Marie Louise Onesto, DDS	Dentist	Streator	AI Deep Dive
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