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1386668176
SCOTT MICHAEL WOLTER
ALTON, IL
NPI
1386668176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-022226)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. SCOTT MICHAEL WOLTER D.M.D
1610 WASHINGTON AVE
ALTON, IL 62002-3931
Phone number: 618-462-7724
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Mailing Address
Dr. SCOTT MICHAEL WOLTER D.M.D
1610 WASHINGTON AVE
ALTON, IL 62002-3931
Phone number: 618-462-7724
Copy
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