LEE DAVID FREDERICKSON

GRANDVILLE, MI
NPI1730302449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  09607)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- LEE DAVID FREDERICKSON DDS
3004 28TH ST SW
GRANDVILLE, MI 49418-2704
Phone number: 616-534-5602
Mailing Address
-- LEE DAVID FREDERICKSON DDS
3004 28TH ST SW
GRANDVILLE, MI 49418-2704
Phone number: 616-534-5602