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Individual

DR. JOHN REED FRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D,D,S

Contact information

Practice address
2530 PERRY AVE, SUITE 200, BREMERTON, WA 98310-5219
(360) 373-1152
(360) 792-1781
Mailing address
290 NE MCWILLIAMS CT, BREMERTON, WA 98311-2505
(360) 377-7522

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6343
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88463
MILITARY IDENTIFICATION
WA
Enumeration date
06/06/2006
Last updated
07/08/2007
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