DR. Marie Bradley Fischl, D.D.S.

NPI #1972671113 in Evanston, Illinois

Provider Information

NPI Number
1972671113
Entity Type
Individual
Name
DR. Marie Bradley Fischl, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
636 CHURCH ST
Address 2
SUITE 200W
ZIP Code
60201-4508
Phone
(847) 864-0822

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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