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Individual

DR. DANIELLE MARIE FRY

Active
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Individual

DR. DANIELLE MARIE FRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D., M.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901020439
MI
122300000X
Dentist
L2026378
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020439
MI

Other

Enumeration date
07/20/2011
Last updated
09/12/2019
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