Individual
DR. JACQUELINE MARIE FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
111 SMITHTOWN BYP, SUITE 217, HAUPPAUGE, NY 11788-2524
(631) 724-0900
(631) 724-0013
Mailing address
111 SMITHTOWN BYP, SUITE 217, HAUPPAUGE, NY 11788-2524
(631) 724-0900
(631) 724-0013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0379971
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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