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Organization

ANGELA S FREDERICK, DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA S FREDERICK DMD (DENTIST)
(606) 784-6436
Entity
Organization

Contact information

Practice address
309 E MAIN ST, MOREHEAD, KY 40351-1659
(606) 784-6436
(606) 784-1665
Mailing address
309 E MAIN ST, MOREHEAD, KY 40351-1659
(606) 784-6436
(606) 784-1665

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8003
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60002953
KY
Enumeration date
10/14/2015
Last updated
10/14/2015
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