DR. Gerald Lee Fedelem, D.D.S.

NPI #1053363978 in Fremont, Michigan

Provider Information

NPI Number
1053363978
Entity Type
Individual
Name
DR. Gerald Lee Fedelem, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
663 E MAIN ST
ZIP Code
49412-9708
Phone
(231) 924-0790

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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