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Individual

DR. DALE ALLEN SCHUTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
741 W STATE ST, SUITE 3, O FALLON, IL 62269-1971
(618) 628-1800
(618) 628-3406
Mailing address
741 W STATE ST, SUITE 3, O FALLON, IL 62269-1971
(618) 628-1800
(618) 628-3406

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
IL

Other

Enumeration date
12/11/2006
Last updated
07/16/2007
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