| Doctor Name: | MISS ANGEL MARIE FRYE |
| NPI Number: | 1134453152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D.H |
| License Number: | AZ6685 |
| Business Practice Address: | 5115 N Dysart Rd Ste 218 Litchfield, AZ - 85340 |
| Business Phone Number: | 6235360900 |
| Business Fax Number: | 6235360920 |
| Mailing Address: | 13706 W Bell Rd, Ste 2 SURPRISE |
| State: | AZ |
| Postal Code: | 85374 |
| Phone Number: | 6235849910 |
| Fax Number: | 6235849940 |
| NPI Enumeration Date: | 09/23/2009 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | AZ6685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |