Organization
JFRIEDMAN - ALEXANDRIA LLC
Active
Other names
Alexandria Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY FRIEDMAN DDS (OWNER)
(317) 414-1616
Entity
Organization
Contact information
Practice address
113 S HARRISON ST, ALEXANDRIA, IN 46001-2021
(765) 724-7777
Mailing address
14331 E JACKSON ST, PARKER CITY, IN 47368-9401
(765) 468-6814
(765) 433-2333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010743
IN
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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