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1740468750
ALAN JOSEPH WICKENHAUSER
BETHALTO, IL
NPI
1740468750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-024793)
Enumeration Date
2008-02-01
Last Update Date
2017-08-09
Business Address
Dr. ALAN JOSEPH WICKENHAUSER D.M.D.
708 E BETHALTO BLVD
BETHALTO, IL 62010-1871
Phone number: 618-377-0044
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Mailing Address
Dr. ALAN JOSEPH WICKENHAUSER D.M.D.
708 E BETHALTO BLVD
BETHALTO, IL 62010-1871
Phone number: 618-377-0044
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