Strow, Wallace

Strow, Wallace is an sole proprietor health care provider with primary practice located at 2807 W. Townline Rd , Peoria IL 61615. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Strow, Wallace can be contacted via phone (309) 689-1452.

Contact Information

Primary practice address
2807 W. Townline Rd Peoria IL 61615
Phone: (309) 689-1452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1164589115
LBN Legal business name Strow, Wallace
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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