Scott J Fridrich DDS PC

NPI #1972840460 in Boulder, Colorado

Provider Information

NPI Number: 1972840460
Entity Type: Organization
Organization Name: Scott J Fridrich DDS PC
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2013
Last Updated: Jan 3, 2013

Practice Location

Address: 1120 ALPINE AVE STE C
City: Boulder
State: Colorado
ZIP Code: 80304-3414
Phone: (303) 443-4416

Authorized Official

Name: DR. SCOTT JOSEPH FRIDRICH, DDS
Title: DOCTOR OF DENTAL SURGERY
Phone: (303) 443-4416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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