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1669088381
LUKE WILLIAM REVELT
ALTON, IL
NPI
1669088381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019032795)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
Dr. LUKE WILLIAM REVELT DMD
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 618-474-7000
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Mailing Address
Dr. LUKE WILLIAM REVELT DMD
4 AZALEA CT
EDWARDSVILLE, IL 62025-3999
Phone number:
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