Individual
DR. ROBERT HERBERT FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1124 MARKET ST, WILLIAMSPORT, PA 17701
(570) 326-6170
Mailing address
1124 MARKET ST, WILLIAMSPORT, PA 17701
(570) 326-6170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017415L
PA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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