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Individual

DR. CHRISTOPHER JOHN FRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7601
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7601

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
106820
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6876
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S2-183C
NV

Other

Enumeration date
03/31/2010
Last updated
11/09/2021
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