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1083138820
PETER DANIEL FREDRICKSON
BERKELEY, CA
NPI
1083138820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 101791)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
Dr. PETER DANIEL FREDRICKSON DDS
2999 REGENT ST STE 714
BERKELEY, CA 94705-2122
Phone number: 510-848-3143
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Mailing Address
Dr. PETER DANIEL FREDRICKSON DDS
2999 REGENT ST STE 714
BERKELEY, CA 94705-2122
Phone number:
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