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Organization
SCOTT M. WOLTER DMD PC
Active
Organization
SCOTT M. WOLTER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MICHAEL WOLTER D.M.D. (PRESIDENT)
(618) 462-7471
Entity
Organization
Contact information
Practice address
1610 WASHINGTON AVE, ALTON, IL 62002-3931
(618) 462-7471
(618) 462-7477
Mailing address
1610 WASHINGTON AVE, ALTON, IL 62002-3931
(618) 462-7471
(618) 462-7477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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