PEDERSEN DENTAL GROUP LTD.
Dentist at Avondale Ave, Chicago, IL

License number
Illinois 019021209
Category
Dentist
Type
Dentist
Owner
Name: DR. FONDA R PEDERSEN D.D.S.
Title: PRESIDENT
Phone: (773) 544-3512
Address
Address
6044 N Avondale Ave, Chicago, IL 60631
National Provider ID: 1841547270
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDERSEN DENTAL GROUP LTD

Chicago, IL 60634

Registration:
Jun 11, 2012
State ID:
68535263
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Dds Fonda R Pedersen,6044 N Avondale Ave, Chicago, IL 60631 (Physical)

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