Individual
DR. NATHANIEL BLAKE SWAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028814
IL
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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