Michael D. Fedyna Dds, Ltd.

NPI #1710004510 in South Barrington, Illinois

Provider Information

NPI Number: 1710004510
Entity Type: Organization
Organization Name: Michael D. Fedyna Dds, Ltd.
Primary Specialty: Dentist
Enumeration Date: Mar 25, 2007
Last Updated: Aug 13, 2007

Practice Location

Address: 8 EXECUTIVE CT
Address 2: SUITE 2
City: South Barrington
State: Illinois
ZIP Code: 60010-9531
Phone: (847) 382-0700

Authorized Official

Name: DR. MICHAEL D. FEDYNA, DDS
Title: PRESIDENT
Phone: (847) 382-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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