DR. Jacqueline Marie Fries, D.D.S.

NPI #1528286465 in Hauppauge, New York

Provider Information

NPI Number
1528286465
Entity Type
Individual
Name
DR. Jacqueline Marie Fries, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
111 SMITHTOWN BYP
Address 2
SUITE 217
ZIP Code
11788-2524
Phone
(631) 724-0900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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