DANIEL AARON FREDRICKSON

SAN DIEGO, CA
NPI1922256908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9174)
Enumeration Date2008-09-03
Last Update Date2008-09-03
Business Address
-- DANIEL AARON FREDRICKSON DMD
34800 BOB WILSON DR NMCSD
SAN DIEGO, CA 92134-1098
Phone number: 503-467-8895
Mailing Address
-- DANIEL AARON FREDRICKSON DMD
3877 PELL PL #322
SAN DIEGO, CA 92130-4143
Phone number: 503-467-8895