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Search › Illinois › General Practice Dentistry

Bethelen Pudik, D.D.S

NPI 1083746226 · on the registry since 2007 · sole proprietor

Practice

Address
2116 N Sheridan Rd
Peoria, IL 61604
Phone
(309) 679-6141
Organisation at this address
County Of Peoria
Heartland Community Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois