Lee David Frederickson, DDS
NPI #1730302449 in Grandville, Michigan
Provider Information
- NPI Number
- 1730302449
- Entity Type
- Individual
- Name
- Lee David Frederickson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
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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