DR. Ryan Frederickson, D.D.S.
NPI #1528351608 in Grandville, Michigan
Provider Information
- NPI Number
- 1528351608
- Entity Type
- Individual
- Name
- DR. Ryan Frederickson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- May 23, 2011
- Last Updated
- May 23, 2011
Practice Location
- Address
- 3004 28TH ST SW
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-2704
- Phone
- (616) 534-5602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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