Frederic B Slete D.d.s.,pc

NPI 1740379015 - Dentist - 1223G0001X

NPI Details
NPI 1740379015
Enumeration Date 10/12/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name FREDERIC B FREDERIC
Position OWNER
Phone (517) 787-5055
Fax (517) 787-9346
Practice Location
306 W WASHINGTON AVE
SUITE 205
JACKSON MI, 49201-2169, US
Phone (517) 787-5055
Fax (517) 787-9346
Business Location
306 W WASHINGTON AVE
SUITE 205
JACKSON MI, 49201-2169, US
Phone (517) 787-5055
Fax (517) 787-9346
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number =========
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According to our database, Frederic B Slete D.d.s.,pc NPI is 1740379015, taxonomy code is 1223G0001X and license number is =========, license state is located at Michigan. Frederic B Slete D.d.s.,pc physically located at 306 W Washington Ave, Jackson MI, 49201-2169. NPI Number 1033115704 has the healthcare provider type.

1740379015 NPI number is provided on an as is basis without warranty of any kind. 1740379015 is maintained by the National Plan & Provider Enumeration System. The contents of Frederic B Slete D.d.s.,pc are for informational purposes only.