DR. Mark Wayne Froedge, DMD

NPI #1962514737 in Edmonton, Kentucky

Provider Information

NPI Number: 1962514737
Entity Type: Individual
Name: DR. Mark Wayne Froedge, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 31, 2006
Last Updated: Apr 19, 2010

Practice Location

Address: 706 WEST STOCKTON STREET
City: Edmonton
State: Kentucky
ZIP Code: 42129
Phone: (270) 432-3617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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