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1134148349
THOMAS PEDAVOLI
SOUTH BEND, IN
NPI
1134148349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12008862)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. THOMAS PEDAVOLI dds
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-245-7503
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Mailing Address
Dr. THOMAS PEDAVOLI dds
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-245-7503
Copy
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