DR. Fred Peter Biasiello III, D.D.S.

NPI #1376771345 in Gurnee, Illinois

Provider Information

NPI Number
1376771345
Entity Type
Individual
Name
DR. Fred Peter Biasiello III, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 29, 2009
Last Updated
Jun 29, 2009

Practice Location

Address
5445 GRAND AVE
Address 2
STE 202
City
Gurnee
ZIP Code
60031-1725
Phone
(847) 244-2775

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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