Individual
DR. ERIC HOWARD FREDERIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 719-3489
Mailing address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 719-3489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9657
KY
1223X2210X
Orofacial Pain Dentistry
Primary
9657
KY
Other
Enumeration date
08/19/2011
Last updated
02/19/2025
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