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1902004914
JAMES F. FONDRIEST
LAKE FOREST, IL
NPI
1902004914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: IL 019-017759)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
Dr. JAMES F. FONDRIEST D.D.S.
560 OAKWOOD AVE SUITE 200
LAKE FOREST, IL 60045-1972
Phone number: 847-234-0517
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Mailing Address
Dr. JAMES F. FONDRIEST D.D.S.
560 OAKWOOD AVE SUITE 200
LAKE FOREST, IL 60045-1972
Phone number: 847-234-0517
Copy
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