Freidline, Clifford
Freidline, Clifford is an sole proprietor health care provider with primary practice located at 1208 Sierra Larga Dr Ne , Albuquerque NM 87112-6509. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Freidline, Clifford can be contacted via phone (505) 275-2777.Contact Information
Primary practice address
1208 Sierra Larga Dr Ne
Albuquerque NM 87112-6509
Phone: (505) 275-2777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1924 | New Mexico |
Profile Details
| NPI number | 1154310928 |
|---|---|
| LBN Legal business name | Freidline, Clifford |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154310928 | NPPES |
| New Mexico | MEDICAID | 9177816 |
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