Individual
DR. FREDERICK JOHN RUMFORD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-3300
Mailing address
317 PINE AVE, 103, CARLSBAD, CA 92008-3180
(617) 645-4515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037322
PA
Other
Enumeration date
08/15/2007
Last updated
02/03/2009
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