Organization
DINOSAUR ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS MICHAEL FREDA DMD (OWNER)
(607) 953-4797
Entity
Organization
Contact information
Practice address
1700 MONROE ST, ENDICOTT, NY 13760-5512
(607) 953-4445
Mailing address
13 BEECH ST, JOHNSON CITY, NY 13790-1018
(607) 953-4797
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/31/2023
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