Individual
BRADLEY S FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14333 LAUREL BOWIE RD, SUITE 205, LAUREL, MD 20708
(301) 953-1888
(301) 953-1891
Mailing address
14333 LAUREL BOWIE RD, SUITE 205, LAUREL, MD 20708
(301) 953-1888
(301) 953-1891
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12145
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN5935
DC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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