Organization
ROBERT HERBERT FREDRICKSON
Active
Other names
ROBERT H FREDRICKSON DDS
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H FREDRICKSON DDS (OWNER)
(570) 326-6170
Entity
Organization
Contact information
Practice address
1124 MARKET ST, WILLIAMSPORT, PA 17701-2124
(570) 326-6170
Mailing address
1124 MARKET ST, WILLIAMSPORT, PA 17701-2124
(570) 326-6170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS017415L
PA
Other
Enumeration date
08/04/2015
Last updated
11/02/2015
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