Individual
DR. DERRICK ONEAL FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7843 OLIVE BLVD, SAINT LOUIS, MO 63130-2039
(314) 863-3772
(314) 863-3857
Mailing address
7843 OLIVE BLVD, SAINT LOUIS, MO 63130-2039
(314) 863-3772
(314) 863-3857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE015374
MO
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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