Individual
DR. PATRICK R FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10530 ROSEHAVEN ST STE 111, FAIRFAX, VA 22030-2840
(703) 385-5777
Mailing address
10530 ROSEHAVEN ST STE 111, FAIRFAX, VA 22030-2840
(703) 385-5777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401415111
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS040307
PA
Other
Enumeration date
05/18/2010
Last updated
04/23/2018
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