ALLEN FRED GOLDBERG

FRANKFORT, IL
NPI1932475100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  021.000435)
Enumeration Date2012-03-31
Last Update Date2012-03-31
Business Address
Dr. ALLEN FRED GOLDBERG DDS
22406 MALLOW DR
FRANKFORT, IL 60423-8493
Phone number: 815-534-5533
Mailing Address
Dr. ALLEN FRED GOLDBERG DDS
22406 MALLOW DR
FRANKFORT, IL 60423-8493
Phone number: 815-534-5533