LARRY OTTE, D.M.D.
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1194859355
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 019-024407 (IL) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 021-001850 (IL) |
Frequently Asked Questions
NPI 1194859355 is the National Provider Identifier for LARRY OTTE, D.M.D., a Dentist - Oral and Maxillofacial Surgery provider located in Peoria, IL. This NPI was enumerated on March 16, 2007.
LARRY OTTE, D.M.D. practices at 2807 N KNOXVILLE AVE, Peoria, IL 61604.
Quick Facts
- NPI
- 1194859355
- Type
- Individual
- Enumerated
- Mar 16, 2007
- Last Updated
- Oct 2, 2008
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