Joseph Derek Fridgen DDS

NPI 1003980194 - Dentist - 1223P0221X

NPI Details
NPI 1003980194
Gender Male
Enumeration Date 11/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
189 N BASCOM AVE STE 200
SAN JOSE CA, 95128-1869, US
Phone (408) 286-6315
Fax (408) 286-6319
Business Location
189 N BASCOM AVE STE 200
SAN JOSE CA, 95128-1869, US
Phone (408) 286-6315
Fax (408) 286-6319
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number 50909
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According to our database, Dr. Joseph Derek Fridgen DDS NPI is 1003980194, taxonomy code is 1223P0221X and license number is 50909, license state is located at California. Joseph Derek Fridgen DDS physically located at 189 N Bascom Ave Ste 200, San Jose CA, 95128-1869. NPI Number Joseph Derek Fridgen DDS has the Individual type.

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1003980194 NPI number is provided on an as is basis without warranty of any kind. 1003980194 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Derek Fridgen DDS are for informational purposes only.