Individual
JULIA P FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19115 112TH AVE NE STE B101, BOTHELL, WA 98011-0043
(425) 492-6898
Mailing address
16125 JUANITA WOODINVILLE WAY NE UNIT 1504, BOTHELL, WA 98011-9437
(206) 734-8090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61453969
WA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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