Organization
JOHN ROTTSCHALK, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L. ROTTSCHALK (OWNER)
(618) 624-3838
Entity
Organization
Contact information
Practice address
959 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 62208-2234
(618) 624-3838
Mailing address
959 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 62208-2234
(618) 624-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024742
IL
Other
Enumeration date
05/11/2007
Last updated
10/09/2014
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