FREDRIC ROSS FIERSTEN

SPRINGFIELD, IL
NPI1154548584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  19A13816)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Dr. FREDRIC ROSS FIERSTEN DDS
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704-1301
Phone number: 217-787-2547
Mailing Address
Dr. FREDRIC ROSS FIERSTEN DDS
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704-1301
Phone number: 217-787-2547
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