Organization
FRIEDMAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOLOM DOVID FRIEDMAN DMD (ORTHODONTIST)
(610) 667-1984
Entity
Organization
Contact information
Practice address
101 PROSPECT ST STE 200, LAKEWOOD, NJ 08701-5003
(610) 667-1984
(610) 667-2438
Mailing address
201 MEETING HOUSE LN, MERION STATION, PA 19066-1211
(610) 617-9529
(610) 667-2438
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02186300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376664979
NPI
PA
Enumeration date
09/07/2018
Last updated
09/07/2018
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