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NPI Code Detail

MEDICARE: STEPHEN MARK FRIEDMAN DDS

MEDICARE: STEPHEN MARK FRIEDMAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist0830CO

General Provider Information

NPI Number : 1669423521
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN MARK FRIEDMAN DDS
Provider Business Mailing Address
First Line : 6883 E EASTMAN AVE
Second Line :
City : DENVER
State : CO
Zip : 80224-2841
Country : US
Telephone Number : 303-758-0778
Fax Number :
Provider Business Practice Location Address
First Line : 3300 E 1ST AVE
Second Line : 580
City : DENVER
State : CO
Zip : 80206-5808
Country : US
Telephone Number : 303-321-0055
Fax Number : 303-333-9148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 07/08/2007

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Directions to “ STEPHEN MARK FRIEDMAN DDS” Practice Location

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