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Individual

DR. JACOB E FREILICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
111 N HWY 67, FLORISSANT, MO 63031-5901
(314) 408-8390
Mailing address
7951 DELMAR BLVD, UNIVERSITY CITY, MO 63130-3717
(646) 494-3331

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2020008411
MO

Other

Enumeration date
03/07/2019
Last updated
07/12/2023
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