Individual
DR. GARY LEROY FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
361 GRANT AVE, JUNCTION CITY, KS 66441-4201
(785) 238-4711
Mailing address
361 GRANT AVE, JUNCTION CITY, KS 66441-4201
(785) 238-4711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5909
KS
Other
Enumeration date
03/16/2006
Last updated
12/12/2022
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