Individual
JAY R FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8390 LORDS PL, BOYNTON BEACH, FL 33472-2926
(818) 359-2076
Mailing address
3616 ALANDER CT, CARLSBAD, CA 92010-5519
(818) 359-2076
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
33086
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
33086
CA
Other
Enumeration date
03/13/2007
Last updated
09/09/2020
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