Individual
DR. JOHN MICHAEL FREDAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
45420 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 997-9484
(586) 997-9645
Mailing address
45420 VAN DYKE AVE, UTICA, MI 48317-5676
(586) 997-9484
(586) 997-9645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014489
MI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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