Andrew Wirtz, D.M.D
Dentist in Alton, IL. Individual provider (NPI-1).
NPI number1982120143
StatusActive
Last updated in NPPESAug 19, 2017
Details
- NPI
- 1982120143
- Entity type
- Individual (NPI-1)
- Name
- Andrew Wirtz
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2017
- Last updated
- Aug 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.031307 | IL | Yes |
Practice location
2800 College AveAlton, IL 62002-4742
Phone 618-474-7000
Mailing address
2800 College AveAlton, IL 62002-4742
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All 57 Dentist providers in Alton · All 1,393 providers in Alton
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