Organization
BREWSTER,BREWSTER,FREDERICK, DDS, INS.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FREDERICK D.D.S. (VICE PRESIDENT)
(661) 947-7737
Entity
Organization
Contact information
Practice address
937 E PALMDALE BLVD, PALMDALE, CA 93550-4711
(661) 947-7737
(661) 947-0522
Mailing address
937 E PALMDALE BLVD, PALMDALE, CA 93550-4711
(661) 947-7737
(661) 947-0522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35494
CA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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