Frederick P Waldschmidt D D S P C | |
750 Almar Parkway Suite 101 Bourbonnais IL 60914 | |
(815) 932-5221 | |
(815) 932-5269 |
Full Name | Frederick P Waldschmidt D D S P C |
---|---|
Speciality | Dentist |
Location | 750 Almar Parkway, Bourbonnais, Illinois |
Authorized Official Name and Position | Frederick P Waldschmidt (PRESIDENT SECRETARY TREASURER) |
Authorized Official Contact | 8159325221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Frederick P Waldschmidt D D S P C 750 Almar Parkway Suite 101 Bourbonnais IL 60914 Ph: (815) 932-5221 | Frederick P Waldschmidt D D S P C 750 Almar Parkway Suite 101 Bourbonnais IL 60914 Ph: (815) 932-5221 |
NPI Number | 1780758193 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 04/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780758193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019019355 (Illinois) | Primary |
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