Sandra Frederick, D.D.S

NPI #1053729921 in Saint Clair Shores, Michigan

Provider Information

NPI Number: 1053729921
Entity Type: Individual
Name: Sandra Frederick, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jul 23, 2014
Last Updated: Jul 23, 2014

Practice Location

Address: 31245 HARPER AVE
City: Saint Clair Shores
State: Michigan
ZIP Code: 48082-1401
Phone: (586) 783-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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