Organization
JOHN F. FRITZ, JR., D.M.D., R.PH, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F. FRITZ JR. D.M.D., R.PH. (PRESIDENT/C.E.O.)
(502) 376-4557
Entity
Organization
Contact information
Practice address
9014 LYNDON LAKES PL, LOUISVILLE, KY 40242-4541
(502) 376-4557
Mailing address
9014 LYNDON LAKES PL, LOUISVILLE, KY 40242-4541
(502) 376-4557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6785
KY
1223G0001X
General Practice Dentistry
Primary
6785
KY
183500000X
Pharmacist
009474
KY
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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