Individual
DR. THOMAS MICHAEL FREDAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
45428 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 731-8338
(586) 731-6197
Mailing address
45428 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 731-8338
(586) 731-6197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022558
MI
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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