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1295950996
FONDA R PEDERSEN
CHICAGO, IL
NPI
1295950996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019021209)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Dr. FONDA R PEDERSEN D.D.S.
7357 W ADDISON ST
CHICAGO, IL 60634-3429
Phone number: 773-889-6100
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Mailing Address
Dr. FONDA R PEDERSEN D.D.S.
7357 W ADDISON ST
CHICAGO, IL 60634-3429
Phone number: 773-889-6100
Copy
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