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1245369776
DENNIS FREDRICKSON
COLUMBIA, IL
NPI
1245369776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019027244)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Dr. DENNIS FREDRICKSON DMD
242 SOUTHWOODS CTR
COLUMBIA, IL 62236-2462
Phone number: 618-281-9294
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Mailing Address
Dr. DENNIS FREDRICKSON DMD
242 SOUTHWOODS CTR
COLUMBIA, IL 62236-2462
Phone number: 618-281-9294
Copy
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