# MATHEW C. FRIEDEMANN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558458232
- **Authorized official:** DR. MATHEW CONRAD FRIEDEMANN DDS (PRESIDENT)
- **Authorized official phone:** (989) 362-3408

## Contact information

- **Practice address:** 114 W STATE ST, EAST TAWAS, MI 48730-1259
- **Practice address phone:** (989) 362-3408
- **Practice address fax:** (989) 362-8372
- **Mailing address:** 114 W STATE ST, EAST TAWAS, MI 48730-1259
- **Mailing address phone:** (989) 362-3408
- **Mailing address fax:** (989) 362-8372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901010423 | MI | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 04/26/2012
