Organization
PATTAN DDS ENGELMANN DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS LEE ENGELMANN DDS (SECRETARY)
(618) 254-0185
Entity
Organization
Contact information
Practice address
209 SCHOOL ST, EAST ALTON, IL 62024-1458
(618) 254-0185
Mailing address
209 SCHOOL ST, EAST ALTON, IL 62024-1458
(618) 254-0185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101038
—
IL
Enumeration date
03/18/2008
Last updated
03/18/2008
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