Thomas L. Waltemate, Dds, Ltd

NPI #1528217411 in Steeleville, Illinois

Provider Information

NPI Number: 1528217411
Entity Type: Organization
Organization Name: Thomas L. Waltemate, Dds, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 405 S. CHARLES
City: Steeleville
State: Illinois
ZIP Code: 62288
Phone: (618) 965-9213

Authorized Official

Name: DR. THOMAS L. WALTEMATE, D.D.S.
Title: PRESIDENT
Phone: (618) 965-9213

Specialties & Taxonomy Codes

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

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