| Jordan Fried DMD LLC | |
|
166 Bunn Dr Ste 103 Princeton NJ 08540-2800 | |
| (609) 924-1621 | |
| Not Available |
| Full Name | Jordan Fried DMD LLC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 166 Bunn Dr Ste 103, Princeton, New Jersey |
| Authorized Official Name and Position | Jordan Fried (OWNER) |
| Authorized Official Contact | 2153177557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Fried DMD LLC 166 Bunn Dr Ste 103 Princeton NJ 08540-2800 Ph: (609) 924-1621 | Jordan Fried DMD LLC 166 Bunn Dr Ste 103 Princeton NJ 08540-2800 Ph: (609) 924-1621 |
| NPI Number | 1972136042 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972136042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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