JEFFREY DAVID FRERICHS

CHAMPAIGN, IL
NPI1790821585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19-022167)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Dr. JEFFREY DAVID FRERICHS D.D.S.
2301 VILLAGE GREEN PL STE A
CHAMPAIGN, IL 61822-7630
Phone number: 217-352-3455
Mailing Address
Dr. JEFFREY DAVID FRERICHS D.D.S.
2301 VILLAGE GREEN PL STE A
CHAMPAIGN, IL 61822-7630
Phone number: 217-352-3455
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