Individual
ROBERT CHARLES FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 MAPLE AVE STE 7, HONESDALE, PA 18431-1459
(570) 251-6534
(570) 251-6538
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 251-6534
(570) 251-6538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021776R
PA
Other
Enumeration date
09/07/2005
Last updated
02/19/2016
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