DR. Philip E Fidel, DDS

NPI #1003008459 in Chicago, Illinois

Provider Information

NPI Number: 1003008459
Entity Type: Individual
Name: DR. Philip E Fidel, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 9, 2007
Last Updated: Aug 9, 2007

Practice Location

Address: 3236 W FULLERTON AVE
City: Chicago
State: Illinois
ZIP Code: 60647-2512
Phone: (773) 276-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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