Individual
DR. JEREMY R FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
11940 QUIVIRA RD, OVERLAND PARK, KS 66213-2222
(913) 469-9723
(913) 469-6491
Mailing address
11940 QUIVIRA RD, OVERLAND PARK, KS 66213-2222
(913) 469-9723
(913) 469-6491
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60358
KS
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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