Organization
SPENCER L. FRIED, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER L FRIED DDS (PRESIDENT)
(513) 522-3377
Entity
Organization
Contact information
Practice address
800 COMPTON RD., SUITE 22, CINCINNATI, OH 45231-3826
(513) 522-3377
(513) 522-1605
Mailing address
800 COMPTON RD., SUITE 22, CINCINNATI, OH 45231
(513) 522-3377
(513) 522-1605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12674
DENTAL LICENSE NUMBER
OH
Enumeration date
02/26/2007
Last updated
08/22/2020
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