NPI | 1427137629 |
---|---|
Former Legal Business Name | JOHN W FRERICH DDS |
Entity Type | Organization |
Authorized Contact | ANDREW FRERICH Owner 507-537-1052 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10218) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-01-21 |