| Carl Cody Friddle Dds Pllc | |
|
2121 Eisenhower Ave Ste 502 Alexandria VA 22314-4688 | |
| (479) 285-1589 | |
| Not Available |
| Full Name | Carl Cody Friddle Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2121 Eisenhower Ave Ste 502, Alexandria, Virginia |
| Authorized Official Name and Position | Carl Cody Friddle (OWNER/DENTIST) |
| Authorized Official Contact | 4792851598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Cody Friddle Dds Pllc 6911 Fort Hunt Rd Alexandria VA 22307-1717 Ph: (479) 285-1589 | Carl Cody Friddle Dds Pllc 2121 Eisenhower Ave Ste 502 Alexandria VA 22314-4688 Ph: (479) 285-1589 |
| NPI Number | 1073293395 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073293395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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