DR. Leanne Fredrickson, D.D.S.
NPI #1528070463 in North Chicago, Illinois
Provider Information
- NPI Number
- 1528070463
- Entity Type
- Individual
- Name
- DR. Leanne Fredrickson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3001 GREEN BAY RD
- Address 2
- M/C 160
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60064-3048
- Phone
- (224) 610-3749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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