Individual
DR. CHARLES FRIEDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4609 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 744-7161
(215) 744-7456
Mailing address
4609 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 744-7161
(215) 744-7456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO22865L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008592710001
—
PA
Enumeration date
07/20/2006
Last updated
07/26/2016
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