Individual
DR. LOUIS J ALTOMARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4104 BROADWAY, GROVE CITY, OH 43123
(614) 875-3141
(614) 875-8812
Mailing address
4104 BROADWAY, GROVE CITY, OH 43123
(614) 875-3141
(614) 875-8812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101848
—
OH
Enumeration date
04/27/2007
Last updated
01/18/2008
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