Individual
ELIZABETH CAROLYN FREDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
45420 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 997-9484
Mailing address
3127 DEVONDALE RD, ROCHESTER HILLS, MI 48309-4034
(586) 337-6442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600145
MI
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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