DR. Peter Daniel Fredrickson, DDS

NPI #1083138820 in Berkeley, California

Provider Information

NPI Number: 1083138820
Entity Type: Individual
Name: DR. Peter Daniel Fredrickson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 2, 2017
Last Updated: Aug 2, 2017

Practice Location

Address: 2999 REGENT ST STE 714
City: Berkeley
State: California
ZIP Code: 94705-2122
Phone: (510) 848-3143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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