Individual
DR. DANIEL W. FRIDH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.A.G.D.
Contact information
Practice address
1200 ANDREW AVE, LA PORTE, IN 46350-5339
(219) 326-7446
(219) 324-8351
Mailing address
1200 ANDREW AVE, LA PORTE, IN 46350-5339
(219) 326-7446
(219) 324-8351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN7235
IN
Other
Enumeration date
10/26/2006
Last updated
04/25/2012
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