DR. Alan Joseph Wickenhauser, D.M.D.

NPI #1740468750 in Bethalto, Illinois

Provider Information

NPI Number: 1740468750
Entity Type: Individual
Name: DR. Alan Joseph Wickenhauser, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Feb 1, 2008
Last Updated: Aug 9, 2017

Practice Location

Address: 708 E BETHALTO BLVD
City: Bethalto
State: Illinois
ZIP Code: 62010-1871
Phone: (618) 377-0044

Specialties & Taxonomy Codes

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

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