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1083746226
BETHELEN O PUDIK
PEORIA, IL
NPI
1083746226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.023717)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Dr. BETHELEN O PUDIK d.d.s.
2116 N SHERIDAN RD
PEORIA, IL 61604-3457
Phone number: 309-679-6141
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Mailing Address
Dr. BETHELEN O PUDIK d.d.s.
5428 W STONEBRIDGE CT
PEORIA, IL 61615-2268
Phone number: 309-679-6140
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