Frederick P Waldschmidt D D S P C

NPI 1780758193 - Dentist - 122300000X

NPI Details
NPI 1780758193
Enumeration Date 11/17/2006
Last Updated 04/21/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDERICK P FREDERICK
Position PRESIDENT SECRETARY TREASURER
Phone (815) 932-5221
Fax (815) 932-5269
Practice Location
750 ALMAR PARKWAY
SUITE 101
BOURBONNAIS IL, 60914, US
Phone (815) 932-5221
Fax (815) 932-5269
Business Location
750 ALMAR PARKWAY
SUITE 101
BOURBONNAIS IL, 60914, US
Phone (815) 932-5221
Fax (815) 932-5269
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019019355
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According to our database, Frederick P Waldschmidt D D S P C NPI is 1780758193, taxonomy code is 122300000X and license number is 019019355, license state is located at Illinois. Frederick P Waldschmidt D D S P C physically located at 750 Almar Parkway, Bourbonnais IL, 60914. NPI Number 1033115704 has the healthcare provider type.

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1780758193 NPI number is provided on an as is basis without warranty of any kind. 1780758193 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick P Waldschmidt D D S P C are for informational purposes only.