LUKE WILLIAM REVELT

ALTON, IL
NPI1669088381
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  019032795)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
DR. LUKE WILLIAM REVELT DMD
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 618-474-7000
Mailing Address
DR. LUKE WILLIAM REVELT DMD
4 AZALEA CT
EDWARDSVILLE, IL 62025-3999
Phone number:
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