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Organization
T. J. FREUND DDS, P.C.
Active
Organization
T. J. FREUND DDS, P.C.
Active
Other names
Chillicothe Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE LYNN MUELLER D.M.D. (OWNER/PRESIDENT)
(309) 274-3820
Entity
Organization
Contact information
Practice address
1008 N. 4TH ST., CHILLICOTHE, IL 61523
(309) 274-3820
(309) 274-6088
Mailing address
PO BOX 170, CHILLICOTHE, IL 61523-0170
(309) 274-3820
(309) 274-6088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001904
DORAL DENTAL
IL
Enumeration date
02/26/2008
Last updated
12/03/2010
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