Individual
DR. KIANA FREDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 BEDFORD ST, LAKEVILLE, MA 02347-2136
(508) 802-5173
Mailing address
48 N PRECINCT ST, EAST TAUNTON, MA 02718-1516
(774) 218-1171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859790
MA
Other
Enumeration date
05/16/2023
Last updated
06/13/2023
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