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Dr. Fred J De La Cotera, DDS
Oral and Maxillofacial Surgery (Dentist) in Elmwood Park, Illinois
NPI 1437139185

Fred J De La Cotera is a Oral and Maxillofacial Surgery (Dentist) based in Elmwood Park, IL and is specialized in Oral and Maxillofacial Surgery. Fred J De La Cotera practices in Elmwood Park, IL and has the professional credentials of DDS. The NPI Number for Fred J De La Cotera is 1437139185 and holds a License No. 021-001570 (Illinois).

The current practice location address for Fred J De La Cotera is 7714 W North Ave, Elmwood Park, IL and can be reached out via phone at 708-456-7282 and via fax at 708-456-7296.

Location: 7714 W North Ave, Elmwood Park, IL, 60707-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437139185
Provider Name
Fred J De La Cotera
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7714 W North Ave, Elmwood Park, IL, 60707-4123
Phone Number
708-456-7282
Fax Number
708-456-7296
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7714 W North Ave
City
Elmwood Park
State
Illinois
Zip
60707-4123
Phone Number
708-456-7282
Fax Number
708-456-7296
person
Provider Business Mailing Address Details
Address
7714 W North Ave
City
Elmwood Park
State
Illinois
Zip
60707-4123
Phone Number
708-456-7282
Fax Number
708-456-7296
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021-001570 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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