Individual
FREDERIC J MRUGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6418 S CASS AVE, WESTMONT, IL 60559-3209
(630) 963-8680
(630) 963-5899
Mailing address
6305 W 92ND ST, OAK LAWN, IL 60453-1405
(708) 599-6404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-15558
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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