Individual
FREDRIC SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1355, CHEVY CHASE, MD 20815-6901
(301) 654-1818
(301) 230-1293
Mailing address
5454 WISCONSIN AVE, SUITE 1355, CHEVY CHASE, MD 20815-6901
(301) 654-1818
(301) 230-1293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10351
MD
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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