DR. Raymond C Otte, D.D.S.

NPI #1063632818 in Goreville, Illinois

Provider Information

NPI Number: 1063632818
Entity Type: Individual
Name: DR. Raymond C Otte, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 112 W. MAIN ST.
City: Goreville
State: Illinois
ZIP Code: 62939-0008
Phone: (618) 995-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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