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NPI Code Detail

MEDICARE: DR. JULIA FREIDENBERG DMD

MEDICARE: DR. JULIA FREIDENBERG DMD
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
1122300000XDentist104158CA

General Provider Information

NPI Number : 1790339067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA FREIDENBERG DMD
Provider Business Mailing Address
First Line : 7513 FOUNTAIN AVE APT 309
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-4178
Country : US
Telephone Number : 206-335-4218
Fax Number :
Provider Business Practice Location Address
First Line : 4165 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-4418
Country : US
Telephone Number : 323-331-9242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 07/25/2019

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Directions to “ DR. JULIA FREIDENBERG DMD” Practice Location

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