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Individual

JONATHAN ELLIOT FRYML

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
318 MEMORIAL DR, GREER, SC 29650-1521
(864) 416-7880
(864) 416-7808
Mailing address
318 MEMORIAL DR, GREER, SC 29650-1521
(864) 416-7880
(864) 416-7808

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33481
TX
1223P0221X
Pediatric Dentistry
Primary
2021
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2017
Last updated
05/17/2022
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