DR. James F. Fondriest, D.D.S.

NPI #1902004914 in Lake Forest, Illinois

Provider Information

NPI Number: 1902004914
Entity Type: Individual
Name: DR. James F. Fondriest, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Prosthodontics
Credential: D.D.S.
Enumeration Date: Jul 11, 2007
Last Updated: Jul 11, 2007

Practice Location

Address: 560 OAKWOOD AVE
Address 2: SUITE 200
City: Lake Forest
State: Illinois
ZIP Code: 60045-1972
Phone: (847) 234-0517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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Organizations

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