Individual
DR. FRED HENRY PASQUESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7710 W NORTH AVE, ELMWOOD PARK, IL 60707-4123
(708) 453-6677
Mailing address
7710 W. NORTH AVE., ELMWOOD PARK, IL 60707
(708) 453-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019014952
IL
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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