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Organization
THOMAS L. WALTEMATE, DDS, LTD
Active
Organization
THOMAS L. WALTEMATE, DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L. WALTEMATE D.D.S. (PRESIDENT)
(618) 965-9213
Entity
Organization
Contact information
Practice address
405 S. CHARLES, STEELEVILLE, IL 62288
(618) 965-9213
(618) 965-9213
Mailing address
P.O. BOX 218, STEELEVILLE, IL 62288
(618) 965-9213
(618) 965-9213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-A14702
IL
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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