THOMAS PEDAVOLI

SOUTH BEND, IN
NPI1134148349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008862)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. THOMAS PEDAVOLI dds
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-245-7503
Mailing Address
Dr. THOMAS PEDAVOLI dds
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-245-7503