Individual
DR. KIRK L FRIDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242
(319) 356-1981
(319) 353-6923
Mailing address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242
(319) 356-1981
(319) 353-6923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07355
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262337
—
IA
01
—
26233
WELLMARK
IA
Enumeration date
12/14/2005
Last updated
03/27/2017
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