Individual
RANDY FREIJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31393 W 13 MILE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2297
(734) 474-4703
(734) 522-0534
Mailing address
31393 W 13 MILE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2297
(734) 474-4703
(734) 522-0534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018929
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901018929
LICENSE NUMBER
MI
Enumeration date
11/07/2006
Last updated
02/07/2009
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