Individual
DR. JORDAN FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
166 BUNN DR STE 103, PRINCETON, NJ 08540-2800
(609) 924-1621
Mailing address
166 BUNN DR STE 103, PRINCETON, NJ 08540-2800
(609) 924-1621
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02550100
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS040288
PA
Other
Enumeration date
07/29/2011
Last updated
08/27/2020
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