FRED J DE LA COTERA

ELMWOOD PARK, IL
NPI1437139185
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  021-001570)
Enumeration Date2006-01-19
Last Update Date2024-01-11
Business Address
Dr. FRED J DE LA COTERA DDS
7714 W NORTH AVE
ELMWOOD PARK, IL 60707-4123
Phone number: 708-456-7282
Mailing Address
Dr. FRED J DE LA COTERA DDS
7714 W NORTH AVE
ELMWOOD PARK, IL 60707-4123
Phone number: 708-203-4095
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