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1831310440
MICHAEL J ZICHTERMAN
PEORIA, IL
NPI
1831310440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-016453)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL J ZICHTERMAN DDS
114 W STRATFORD DR
PEORIA, IL 61614
Phone number: 309-682-6459
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Mailing Address
Dr. MICHAEL J ZICHTERMAN DDS
114 W STRATFORD DR
PEORIA, IL 61614
Phone number: 309-682-6459
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