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LISA FREDRICKSON

General Practice Dentistry

NPI: 1023576493Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

12734(CT)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Contact & Hours

Via practice · 2 locations total

Address
27005 76TH AVE
NEW HYDE PARK, NY 11040

Quick Facts

NPI
1023576493
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
2

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