Provider Demographics
NPI:1053796938
Name:FRIMAN, JOSE M (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:FRIMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 AVENIDA ALEGRE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-2237
Mailing Address - Country:US
Mailing Address - Phone:561-315-5570
Mailing Address - Fax:
Practice Address - Street 1:505 AVENIDA ALEGRE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-2237
Practice Address - Country:US
Practice Address - Phone:561-315-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21468122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist