DR. Alan Richard Wielgos, D.D.S.

NPI #1992824957 in Zion, Illinois

Provider Information

NPI Number: 1992824957
Entity Type: Individual
Name: DR. Alan Richard Wielgos, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2671 SHERIDAN RD
City: Zion
State: Illinois
ZIP Code: 60099-2628
Phone: (847) 872-4782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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