Raymond C Otte D.D.S.

NPI 1063632818 - Dentist - 1223G0001X

NPI Details
NPI 1063632818
Gender Male
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
112 W. MAIN ST.
GOREVILLE IL, 62939-0008, US
Phone (618) 995-9777
Fax
Business Location
112 W. MAIN ST.
GOREVILLE IL, 62939-0008, US
Phone (618) 995-9777
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Raymond C Otte D.D.S. NPI is 1063632818, taxonomy code is 1223G0001X Raymond C Otte D.D.S. physically located at 112 W. Main St., Goreville IL, 62939-0008. NPI Number Raymond C Otte D.D.S. has the Individual type.

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1063632818 NPI number is provided on an as is basis without warranty of any kind. 1063632818 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond C Otte D.D.S. are for informational purposes only.