Individual
DR. KURT E FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
100 NW 82ND AVE, SUITE 101-102, PLANTATION, FL 33324-7809
(954) 475-9840
(954) 370-0500
Mailing address
5531 N. UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL 33067-4649
(954) 227-4892
(954) 227-4894
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0006797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074683500
—
FL
01
—
59-2043705
TAX ID
FL
01
—
DN0006797
DENTAL LICENSE
FL
Enumeration date
05/01/2006
Last updated
03/07/2023
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