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6601 Lyndale Ave S Ste 230a Richfield MN 55423-2479 | |
| (612) 638-1206 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6601 Lyndale Ave S Ste 230a, Richfield, Minnesota |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATORS) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6601 Lyndale Ave S Ste 230 Richfield MN 55423-2479 Ph: (612) 638-1206 | 6601 Lyndale Ave S Ste 230a Richfield MN 55423-2479 Ph: (612) 638-1206 |
| NPI Number | 1861140501 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861140501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (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 |