Individual
DR. GARY FERD ALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
404 LATHROP AVE, RIVER FOREST, IL 60305-1821
(708) 366-8909
(708) 377-4158
Mailing address
404 LATHROP AVE, RIVER FOREST, IL 60305-1821
(708) 366-8909
(708) 377-4158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-04782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001040
—
IL
Enumeration date
02/09/2007
Last updated
04/23/2024
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