Andrew Wirtz, D.M.D

NPI #1982120143 in Alton, Illinois

Provider Information

NPI Number: 1982120143
Entity Type: Individual
Name: Andrew Wirtz, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Aug 19, 2017
Last Updated: Aug 19, 2017

Practice Location

Address: 2800 COLLEGE AVE
City: Alton
State: Illinois
ZIP Code: 62002-4742
Phone: (618) 474-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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