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Individual

ADAM JACOB FRIEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DENTIST

Contact information

Practice address
401 W 7TH ST, FREDERICK, MD 21701-4505
(301) 662-7766
Mailing address
401 W 7TH ST, FREDERICK, MD 21701-4505
(301) 662-7766

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9283
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9283
LICENSE
MD
Enumeration date
09/15/2006
Last updated
07/08/2007
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