Organization
DR. LOUIS J. ORTMANN DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD PATRICK NIKODEM DDS (PRESIDENT)
(636) 931-6870
Entity
Organization
Contact information
Practice address
1121 W. GANNON DR., FESTUS, MO 63028
(636) 931-6870
(636) 937-3227
Mailing address
1121 W. GANNON DR., FESTUS, MO 63028
(636) 931-6870
(636) 937-3227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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