| Dylla-jensen Periodontics Pllc | |
|
6545 France Ave S Edina MN 55435-2131 | |
| (952) 922-6949 | |
| (952) 922-9287 |
| Full Name | Dylla-jensen Periodontics Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6545 France Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Russell Dylla (D.D.S.) |
| Authorized Official Contact | 9529226949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dylla-jensen Periodontics Pllc 6545 France Ave S Edina MN 55435-2131 Ph: (952) 922-6949 | Dylla-jensen Periodontics Pllc 6545 France Ave S Edina MN 55435-2131 Ph: (952) 922-6949 |
| NPI Number | 1407008477 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407008477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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