Individual
BRUCE RICHARD FEHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
08/22/2006
Last updated
07/08/2007
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