NPI 1063677144

Warren F. Wakerlin, DDSMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Wheaton, IL

Practice location

Address: 610 W Roosevelt Rd, Wheaton, IL 60187-5087
Phone: (630) 682-3050
Fax: (630) 682-9738

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 19-A-13540 (IL)

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Registry record

NPI: 1063677144
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2008
Record last updated: 28 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.