SearchIllinoisGeneral Practice Dentistry

Fonda Pedersen, D.D.S

NPI 1295950996 · on the registry since 2007 · sole proprietor

Practice

Address
7357 W Addison St
Chicago, IL 60634
Phone
(773) 889-6100
Fax
(773) 889-8737

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