Organization
THOMAS J FEDER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH FEDER DDS (PRESIDENT)
(618) 235-5141
Entity
Organization
Contact information
Practice address
16 N JACKSON ST, BELLEVILLE, IL 62220-1425
(618) 235-5141
Mailing address
16 N JACKSON ST, BELLEVILLE, IL 62220-1425
(618) 235-5141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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