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1982120143
ANDREW WIRTZ
ALTON, IL
NPI
1982120143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.031307)
Enumeration Date
2017-08-19
Last Update Date
2017-08-19
Business Address
ANDREW WIRTZ D.M.D
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 618-474-7000
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Mailing Address
ANDREW WIRTZ D.M.D
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number:
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