Individual
MR. MARK THOMAS FRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON UNIT, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Mailing address
1600 WOOD DUCK ST NE, SILVERTON, OR 97381-8517
(503) 399-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60216
KS
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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