| Janice O. Frederick, D.d.s.,p.a. | |
|
6410 Nicollet Ave Richfield MN 55423-1613 | |
| (612) 866-7300 | |
| Not Available |
| Full Name | Janice O. Frederick, D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6410 Nicollet Ave, Richfield, Minnesota |
| Authorized Official Name and Position | Janice Oberg Frederick (OWNER) |
| Authorized Official Contact | 6128667300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice O. Frederick, D.d.s.,p.a. 6410 Nicollet Ave Richfield MN 55423-1613 Ph: () - | Janice O. Frederick, D.d.s.,p.a. 6410 Nicollet Ave Richfield MN 55423-1613 Ph: (612) 866-7300 |
| NPI Number | 1104978279 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104978279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9631 (Minnesota) | Primary |
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