Organization
MICHAEL D. FEDYNA DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. FEDYNA DDS (PRESIDENT)
(847) 382-0700
Entity
Organization
Contact information
Practice address
8 EXECUTIVE CT, SUITE 2, SOUTH BARRINGTON, IL 60010-9531
(847) 382-0700
(847) 382-0707
Mailing address
8 EXECUTIVE CT, SUITE 2, SOUTH BARRINGTON, IL 60010-9531
(847) 382-0700
(847) 382-0707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.020146
IL
Other
Enumeration date
03/25/2007
Last updated
08/13/2007
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