Organization
FREY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JONATHAN MASUDA FREY DDS, MPH (CEO/OWNER)
(408) 309-6430
Entity
Organization
Contact information
Practice address
8989 RIO SAN DIEGO DR STE 170, SAN DIEGO, CA 92108-1604
(619) 280-9100
Mailing address
3534 5TH AVE APT 401, SAN DIEGO, CA 92103-5067
(408) 309-6430
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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