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1013447515
ALEX MICHAEL VITZTHUM
WATERLOO, IA
NPI
1013447515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA DDS-09440)
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
DR. ALEX MICHAEL VITZTHUM DDS
1115 SOUTH ST
WATERLOO, IA 50702-2330
Phone number: 319-233-2759
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Mailing Address
DR. ALEX MICHAEL VITZTHUM DDS
1115 SOUTH ST
WATERLOO, IA 50702-2330
Phone number:
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