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1003980194
JOSEPH DEREK FRIDGEN
SAN JOSE, CA
NPI
1003980194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 50909)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH DEREK FRIDGEN DDS
189 N BASCOM AVE STE 200
SAN JOSE, CA 95128-1869
Phone number: 408-286-6315
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Mailing Address
Dr. JOSEPH DEREK FRIDGEN DDS
189 N BASCOM AVE STE 200
SAN JOSE, CA 95128-1869
Phone number: 408-286-6315
Copy
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