Organization
FEHLMAN DENTAL PRACTICE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE RICHARD FEHLMAN D.D.S. (OWNER)
(309) 944-6401
Entity
Organization
Contact information
Practice address
116 W 2ND ST, GENESEO, IL 61254-1320
(309) 944-6401
(309) 945-4311
Mailing address
PO BOX 109, GENESEO, IL 61254-0109
(309) 944-6401
(309) 945-4311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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