Individual
ROBERT MICHAEL ALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2314 N 2ND ST, CLINTON, IA 52732-2434
(563) 242-1565
(563) 242-0095
Mailing address
2314 N 2ND ST, CLINTON, IA 52732-2434
(563) 242-1565
(563) 242-0095
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
06659
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004602
—
IL
05
—
217893
—
IA
Enumeration date
08/01/2006
Last updated
07/08/2007
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