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Individual

DR. GREG W FRODEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5204 N ROAD 68, SUITE B, PASCO, WA 99301-9275
(509) 547-9955
(509) 544-2827
Mailing address
5204 N ROAD 68, SUITE B, PASCO, WA 99301-9275
(509) 547-9955
(509) 544-2827

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5567
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5051891
WA
01
5567
STATE LICENSE NUMBER
WA
01
5778
DELTA DENTAL INSURANCE
WA
Enumeration date
03/07/2007
Last updated
07/09/2007
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