Organization
FLORALA FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W FRERICH DDS (OWNER/DENTIST)
(334) 219-5831
Entity
Organization
Contact information
Practice address
24244 5TH AVE, FLORALA, AL 36442-3522
(334) 219-5831
(334) 647-6475
Mailing address
24244 5TH AVE, FLORALA, AL 36442-3522
(334) 219-5831
(334) 647-6475
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6491C
AL
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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