Individual
MR. NATHAN DAVID FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2503 CHARLEVOIX AVE., PETOSKEY, MI 49770
(231) 347-5317
(231) 347-7933
Mailing address
2503 CHARLEVOIX AVE., PETOSKEY, MI 49770
(231) 347-5317
(231) 347-7933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020440
MI
1223G0001X
General Practice Dentistry
Primary
2901020440
MI
Other
Enumeration date
08/04/2011
Last updated
05/29/2019
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