Individual
DR. IVAN S. FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 REISTERSTOWN RD, POMONA SQUARE SUITE 203, BALTIMORE, MD 21208-1416
(410) 653-0091
(410) 653-0092
Mailing address
1700 REISTERSTOWN RD, POMONA SQUARE SUITE 203, BALTIMORE, MD 21208-1416
(410) 653-0091
(410) 653-0092
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6407
MD
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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