Stephen Randolph Fred DDS

NPI 1134424419 - Dentist - 1223G0001X

NPI Details
NPI 1134424419
Gender Male
Enumeration Date 01/19/2011
Last Updated 01/19/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
5225 POOKS HILL RD
SUITE #2
BETHESDA MD, 20814-2052, US
Phone (301) 530-7383
Fax (301) 530-8578
Business Location
5225 POOKS HILL RD
SUITE #2
BETHESDA MD, 20814-2052, US
Phone (301) 530-7383
Fax (301) 530-8578
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number MD-4989
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According to our database, Dr. Stephen Randolph Fred DDS NPI is 1134424419, taxonomy code is 1223G0001X and license number is MD-4989, license state is located at Maryland. Stephen Randolph Fred DDS physically located at 5225 Pooks Hill Rd, Bethesda MD, 20814-2052. NPI Number Stephen Randolph Fred DDS has the Individual type.

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1134424419 NPI number is provided on an as is basis without warranty of any kind. 1134424419 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Randolph Fred DDS are for informational purposes only.