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1467759944
ERIC THOMAS SUDHOLT
PEORIA, IL
NPI
1467759944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028324)
Enumeration Date
2011-02-18
Last Update Date
2011-02-18
Business Address
Dr. ERIC THOMAS SUDHOLT D.M.D.
838 W GLEN AVE
PEORIA, IL 61614-4835
Phone number: 309-691-1990
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Mailing Address
Dr. ERIC THOMAS SUDHOLT D.M.D.
838 W GLEN AVE
PEORIA, IL 61614-4835
Phone number: 309-691-1990
Copy
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