Individual
DR. JEFFREY DAVID FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 VILLAGE GREEN PL STE A, CHAMPAIGN, IL 61822-7630
(217) 352-3455
(217) 352-3481
Mailing address
2301 VILLAGE GREEN PL STE A, CHAMPAIGN, IL 61822-7630
(217) 352-3455
(217) 352-3481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-022167
IL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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