Individual
DR. JOHN L. ROTTSCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
959 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 62208-2234
(618) 624-3838
(618) 624-4478
Mailing address
959 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 62208-2234
(618) 624-3838
(618) 624-4478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024742
IL
Other
Enumeration date
02/02/2007
Last updated
10/09/2014
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