Individual
DR. DENNIS A. FRIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
490B W ZIA RD, SUITE 3, SANTA FE, NM 87505-7008
(505) 992-1550
(505) 992-1557
Mailing address
490B W ZIA RD, SUITE 3, SANTA FE, NM 87505-7008
(505) 992-1550
(505) 992-1557
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19879
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD1818
NM
Other
Enumeration date
04/25/2007
Last updated
06/17/2008
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