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1922256908
DANIEL AARON FREDRICKSON
SAN DIEGO, CA
NPI
1922256908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D9174)
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
-- DANIEL AARON FREDRICKSON DMD
34800 BOB WILSON DR NMCSD
SAN DIEGO, CA 92134-1098
Phone number: 503-467-8895
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Mailing Address
-- DANIEL AARON FREDRICKSON DMD
3877 PELL PL #322
SAN DIEGO, CA 92130-4143
Phone number: 503-467-8895
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