Individual
ANNA FREDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
45420 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 997-9484
Mailing address
45420 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 997-9484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601050
MI
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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