ALAN JOSEPH WICKENHAUSER

BETHALTO, IL
NPI1740468750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-024793)
Enumeration Date2008-02-01
Last Update Date2017-08-09
Business Address
Dr. ALAN JOSEPH WICKENHAUSER D.M.D.
708 E BETHALTO BLVD
BETHALTO, IL 62010-1871
Phone number: 618-377-0044
Mailing Address
Dr. ALAN JOSEPH WICKENHAUSER D.M.D.
708 E BETHALTO BLVD
BETHALTO, IL 62010-1871
Phone number: 618-377-0044