Individual
ROBERT SCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
124 N 12TH ST, QUINCY, IL 62301-3021
(217) 222-5058
Mailing address
124 N 12TH ST, QUINCY, IL 62301-3021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0190139986
IL
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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