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Individual

FREDERICK P WALDSCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
750 ALMAR PKWY, SUITE 101, BOURBONNAIS, IL 60914-2315
(815) 932-5221
(815) 932-5269
Mailing address
750 ALMAR PKWY, SUITE 101, BOURBONNAIS, IL 60914-2315
(815) 932-5221
(815) 932-5269

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019355
IL

Other

Enumeration date
02/28/2011
Last updated
04/21/2015
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