WAYNE ANTHONY FREDERICKSON

LIVINGSTON, MT
NPI1124172259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MT  2104)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Dr. WAYNE ANTHONY FREDERICKSON D.D.S.
422 S MAIN ST
LIVINGSTON, MT 59047-3456
Phone number: 406-222-6061
Mailing Address
Dr. WAYNE ANTHONY FREDERICKSON D.D.S.
422 S MAIN ST
LIVINGSTON, MT 59047-3456
Phone number: 406-222-6061
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