Individual
JAKE FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
92 SWEET RD, BALLSTON LAKE, NY 12019-1804
(914) 419-4100
Mailing address
92 SWEET RD, BALLSTON LAKE, NY 12019-1804
(914) 419-4100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
057555
NY
Other
Enumeration date
01/07/2014
Last updated
05/07/2020
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