DR. Dennis Fredrickson, DMD

NPI #1245369776 in Columbia, Illinois

Provider Information

NPI Number: 1245369776
Entity Type: Individual
Name: DR. Dennis Fredrickson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 242 SOUTHWOODS CTR
City: Columbia
State: Illinois
ZIP Code: 62236-2462
Phone: (618) 281-9294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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