Malia Fredrickson, D.D.S.
NPI #1275578791 in Seneca, South Carolina
Provider Information
- NPI Number
- 1275578791
- Entity Type
- Individual
- Name
- Malia Fredrickson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 10229A CLEMSON BLVD
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29678-0817
- Phone
- (864) 882-0620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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