Individual
DR. KRISTINA NICHOLE FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
720 EAST BLVD, KINGSFORD, MI 49802-4539
(906) 774-5087
Mailing address
720 EAST BLVD, KINGSFORD, MI 49802-4539
(906) 774-5087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019576
MI
Other
Enumeration date
06/11/2007
Last updated
01/13/2016
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