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Individual

DR. RAYMOND LEE FRYE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5319 TACOMA MALL BLVD, TACOMA, WA 98409-7072
(253) 476-1030
(253) 476-1031
Mailing address
6825 E HAMPDEN AVE, STE 103, DENVER, CO 80224-3029
(303) 355-1645
(303) 355-3647

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9236
OR
1223G0001X
General Practice Dentistry
DE00008175
WA
1223G0001X
General Practice Dentistry
DEN00201961
CO

Other

Enumeration date
10/13/2006
Last updated
06/20/2023
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