DR. Justin Jay Fried, D.D.S.

NPI #1003028200 in Maplewood, New Jersey

Provider Information

NPI Number: 1003028200
Entity Type: Individual
Name: DR. Justin Jay Fried, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2168 MILLBURN AVE
Address 2: SUITE 201
City: Maplewood
State: New Jersey
ZIP Code: 07040-2640
Phone: (973) 763-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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