Individual
FREDERICK FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 HIGH RIDGE BLVD, HIGH RIDGE, MO 63049-2205
(636) 677-5663
Mailing address
PO BOX 76, HIGH RIDGE, MO 63049-0076
(636) 677-5663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO14148
MO
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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