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Individual

CAROLINE ROTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1490 N GREEN MOUNT RD STE A, O FALLON, IL 62269-3484
(618) 622-9720
Mailing address
1415 SAINT LOUIS ST, EDWARDSVILLE, IL 62025-1311
(630) 418-1184

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035184
IL

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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