DR. Wayne Anthony Frederickson, D.D.S.

NPI #1124172259 in Livingston, Montana

Provider Information

NPI Number
1124172259
Entity Type
Individual
Name
DR. Wayne Anthony Frederickson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
422 S MAIN ST
State
Montana
ZIP Code
59047-3456
Phone
(406) 222-6061

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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