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Individual
MITCHELL WILLIAM FRERICHS
Active
Individual
MITCHELL WILLIAM FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS-10325
IA
390200000X
Student in an Organized Health Care Education/Training Program
RES-30595
IA
Other
Enumeration date
06/12/2020
Last updated
06/25/2025
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