| Robert H Fredrickson Dds | |
|
1124 Market St Williamsport PA 17701-2124 | |
| (570) 326-6170 | |
| Not Available |
| Full Name | Robert H Fredrickson Dds |
|---|---|
| Speciality | Dentist |
| Location | 1124 Market St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Robert H Fredrickson (OWNER) |
| Authorized Official Contact | 5703266170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert H Fredrickson Dds 1124 Market St Williamsport PA 17701-2124 Ph: (570) 326-6170 | Robert H Fredrickson Dds 1124 Market St Williamsport PA 17701-2124 Ph: (570) 326-6170 |
| NPI Number | 1386020170 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386020170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS017415L (Pennsylvania) | Primary |
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