Organization
EVAN FREDERICK,DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN ANDREW FREDERICK DDS (OWNER)
(517) 278-6077
Entity
Organization
Contact information
Practice address
323 W CHICAGO ST, COLDWATER, MI 49036-2805
(517) 278-6077
(517) 278-7045
Mailing address
323 W CHICAGO ST, COLDWATER, MI 49036-2805
(517) 278-6077
(517) 278-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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