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Individual

DR. KENNETH JOSEPH FRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
11201 NALL AVE, SUITE 130, LEAWOOD, KS 66211-1926
(913) 491-0056
Mailing address
7500 E PINNACLE PEAK RD, SUITE #A100, SCOTTSDALE, AZ 85255-3406
(480) 585-2824
(480) 585-2391

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D4774
AZ

Other

Enumeration date
07/11/2005
Last updated
07/12/2011
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