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6601 Lyndale Ave S Ste 220a Richfield MN 55423-2477 | |
(612) 866-1234 | |
Not Available |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 6601 Lyndale Ave S Ste 220a, Richfield, Minnesota |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6601 Lyndale Ave S Ste 220a Richfield MN 55423-2477 Ph: (612) 866-1234 | 6601 Lyndale Ave S Ste 220a Richfield MN 55423-2477 Ph: (612) 866-1234 |
NPI Number | 1679673867 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 03/11/2022 |
Identifier | Type | State | Issuer |
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1679673867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
Janice O. Frederick, D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6410 Nicollet Ave, Richfield, MN 55423 Phone: 612-866-7300 | |
Ehlers And Keller Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1537 E 66th St, Richfield, MN 55423 Phone: 612-861-7188 Fax: 612-861-1274 |