Organization
FREDA ORTHODONTICS LLC
Active
Other names
Old Tappan Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS FREDA DMDS (ORTHODONTIST/OWNER)
(908) 295-6508
Entity
Organization
Contact information
Practice address
180 OLD TAPPAN RD STE 1A, OLD TAPPAN, NJ 07675-7052
(201) 768-0018
Mailing address
180 OLD TAPPAN RD STE 1A, OLD TAPPAN, NJ 07675-7052
(201) 768-0018
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02593700
NJ
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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