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NPI Code Detail

MEDICARE: DR. ROBERT FRIEDMAN D.D.S.

MEDICARE: DR. ROBERT FRIEDMAN D.D.S.
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
11223P0221XPediatric Dentistry17463CA

General Provider Information

NPI Number : 1740381300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT FRIEDMAN D.D.S.
Provider Business Mailing Address
First Line : 5828 ADENMOOR AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-1002
Country : US
Telephone Number : 562-867-1753
Fax Number : 562-867-2091
Provider Business Practice Location Address
First Line : 5828 ADENMOOR AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-1002
Country : US
Telephone Number : 562-867-1753
Fax Number : 562-867-2091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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