Individual
DR. GARY STEWART FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
(361) 578-0247
(361) 578-0240
Mailing address
111 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
(361) 578-0247
(361) 578-0240
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007936001
—
TX
Enumeration date
01/09/2007
Last updated
07/08/2007
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