De La Cotera, Fred J
De La Cotera, Fred J is an individual health care provider with primary practice located at 7714 W North Ave , Elmwood Park IL 60707-4123. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. De La Cotera, Fred J can be contacted via phone (708) 456-7282.Contact Information
Primary practice address
7714 W North Ave
Elmwood Park IL 60707-4123
Phone: (708) 456-7282
Fax: (708) 456-7296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 021-001570 | Illinois |
Profile Details
| NPI number | 1437139185 |
|---|---|
| LBN Legal business name | De La Cotera, Fred J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jan 11th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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