DR. Evan Deuth Fiedler, D.D.S.

NPI #1104054022 in Granville, Illinois

Provider Information

NPI Number: 1104054022
Entity Type: Individual
Name: DR. Evan Deuth Fiedler, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 30, 2009
Last Updated: Mar 25, 2010

Practice Location

Address: 100 N MCCOY ST
City: Granville
State: Illinois
ZIP Code: 61326-9329
Phone: (815) 339-6888

Specialties & Taxonomy Codes

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

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