Individual
DR. SAMUEL JON FRYDENLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2325 SHIAWASSEE, SUITE 101, FENTON, MI 48430-1792
(810) 732-3910
(810) 732-6836
Mailing address
4007 WEST COURT ST, STE H, FLINT, MI 48532-3560
(810) 732-3910
(810) 732-6836
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901014864
MI
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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