TERRY JON ORTMAN

ALTON, IL
NPI1316004310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-013894)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Dr. TERRY JON ORTMAN D.D.S.
4119 HUMBERT RD
ALTON, IL 62002-7116
Phone number: 618-465-8100
Mailing Address
Dr. TERRY JON ORTMAN D.D.S.
2802 BRYDEN LN
GODFREY, IL 62035-4709
Phone number: 618-467-2878
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