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1114225141
FREDERICK P WALDSCHMIDT
BOURBONNAIS, IL
NPI
1114225141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-019355)
Enumeration Date
2011-02-28
Last Update Date
2015-04-21
Business Address
-- FREDERICK P WALDSCHMIDT D.D.S.
750 ALMAR PKWY SUITE 101
BOURBONNAIS, IL 60914-2315
Phone number: 815-932-5221
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Mailing Address
-- FREDERICK P WALDSCHMIDT D.D.S.
750 ALMAR PKWY SUITE 101
BOURBONNAIS, IL 60914-2315
Phone number: 815-932-5221
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