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Organization

FREDAL ORTHODONTICS, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MICHAEL FREDAL JR. DDS, MSD (DR. / OWNER)
(586) 544-4440
Entity
Organization

Contact information

Practice address
7827 25 MILE RD, SHELBY TOWNSHIP, MI 48316
(586) 544-4440
(586) 544-4401
Mailing address
7827 25 MILE RD, SHELBY TOWNSHIP, MI 48316
(586) 544-4440
(586) 544-4401

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
02/15/2022
Last updated
02/16/2022
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