Joseph Wolski, Dmd, P.C.
Dentist, General Practice in Saint Charles, IL. Organization (NPI-2).
NPI number1265980353
StatusActive
Last updated in NPPESDec 16, 2021
Details
- NPI
- 1265980353
- Entity type
- Organization (NPI-2)
- Legal business name
- Joseph Wolski, Dmd, P.C.
- Organization subpart
- No
- Enumeration date
- Sep 17, 2016
- Certification date
- Dec 16, 2021
- Last updated
- Dec 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019030169 | IL | Yes |
Other names
- Bespoke Dental Co. (Doing Business As)
Practice location
804 S 3rd StSaint Charles, IL 60174-4053
Phone 630-377-1200
Mailing address
804 S 3rd StSaint Charles, IL 60174-4053
Phone 630-377-1200
Authorized official
Joseph Wolski
Presdident
6303771200
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