Individual
DR. FREDERICK JEREMY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4530 S CARSON ST STE 5, CARSON CITY, NV 89701-6914
(775) 461-3800
(775) 461-3801
Mailing address
4530 S CARSON ST STE 5, CARSON CITY, NV 89701-6914
(775) 461-3800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-140
NV
Other
Enumeration date
07/27/2009
Last updated
10/21/2020
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