Individual
DR. FREDRIC ROSS FIERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
997 CLOCK TOWER DR, SPRINGFIELD, IL 62704-1301
(217) 787-2547
(217) 787-1757
Mailing address
997 CLOCK TOWER DR, SPRINGFIELD, IL 62704-1301
(217) 787-2547
(217) 787-1757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A13816
IL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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