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1114923281
THOMAS J FEDER
BELLEVILLE, IL
NPI
1114923281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 19-013814)
Enumeration Date
2005-06-23
Last Update Date
2007-07-08
Business Address
Dr. THOMAS J FEDER DDS
16 N JACKSON ST
BELLEVILLE, IL 62220-1425
Phone number: 618-235-5141
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Mailing Address
Dr. THOMAS J FEDER DDS
16 N JACKSON ST
BELLEVILLE, IL 62220-1425
Phone number: 618-235-5141
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